Healthcare Provider Details

I. General information

NPI: 1366326563
Provider Name (Legal Business Name): INNOVATIVE ORTHOPEDIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 RED BANK RD STE 101
CINCINNATI OH
45227-1528
US

IV. Provider business mailing address

4914 COOPER RD UNIT 42155
CINCINNATI OH
45242-2507
US

V. Phone/Fax

Practice location:
  • Phone: 513-525-1234
  • Fax: 513-525-1231
Mailing address:
  • Phone: 813-469-8254
  • Fax:

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: JAMES TREVOR STEFANSKI
Title or Position: OWNER
Credential:
Phone: 513-525-1234