Healthcare Provider Details

I. General information

NPI: 1376839985
Provider Name (Legal Business Name): ORTHOPAEDIC CONSULTANTS OF CINCINNATI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 GOOD SAMARITAN DRIVE SUITE A
CINCINNATI OH
45247-5207
US

IV. Provider business mailing address

4701 CREEK RD SUITE 110
BLUE ASH OH
45242-8398
US

V. Phone/Fax

Practice location:
  • Phone: 513-245-2500
  • Fax: 513-245-5424
Mailing address:
  • Phone: 513-618-9011
  • Fax: 513-588-2479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JAMES P PLETTNER
Title or Position: OWNER/PARTNER
Credential: M.D.
Phone: 513-232-6677