Healthcare Provider Details

I. General information

NPI: 1205957537
Provider Name (Legal Business Name): ORTHOPAEDIC INSTITUTE OF OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 GARAU ST. BLANCHARD VALLEY HOSPITAL
BLUFFTON OH
45817
US

IV. Provider business mailing address

801 MEDICAL DR SUITE A
LIMA OH
45804-4099
US

V. Phone/Fax

Practice location:
  • Phone: 419-358-9010
  • Fax:
Mailing address:
  • Phone: 419-222-6622
  • Fax: 419-224-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY ACKERMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 419-222-6622