Healthcare Provider Details

I. General information

NPI: 1679565089
Provider Name (Legal Business Name): LONE STAR ORTHOPAEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 CLIFTON AVE SUITE 300
CINCINNATI OH
45220-3045
US

IV. Provider business mailing address

3219 CLIFTON AVE SUITE 300
CINCINNATI OH
45220-3045
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-3368
  • Fax: 513-751-0023
Mailing address:
  • Phone: 513-751-3368
  • Fax: 513-751-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. JAMES ANTHONY AMIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-751-3668