Healthcare Provider Details

I. General information

NPI: 1235175282
Provider Name (Legal Business Name): ASSOCIATES IN ORTHOPAEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SEVERANCE CIR SUITE 609
CLEVELAND HEIGHTS OH
44118-1566
US

IV. Provider business mailing address

5 SEVERANCE CIR SUITE 609
CLEVELAND HEIGHTS OH
44118-1566
US

V. Phone/Fax

Practice location:
  • Phone: 216-691-9000
  • Fax: 216-691-9207
Mailing address:
  • Phone: 216-691-9000
  • Fax: 216-691-9207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35056726
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number35047332
License Number StateOH

VIII. Authorized Official

Name: DR. AUDLEY MAURICE MACKEL III
Title or Position: ORTHOPAEDIC SURGEON
Credential: MD
Phone: 216-691-9000