Healthcare Provider Details

I. General information

NPI: 1245274463
Provider Name (Legal Business Name): ORTHOPEDIC ASSOCIATES OF DAYTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7980 N MAIN ST.
DAYTON OH
45415-2328
US

IV. Provider business mailing address

7980 N MAIN ST
DAYTON OH
45415-2328
US

V. Phone/Fax

Practice location:
  • Phone: 937-280-4988
  • Fax: 937-280-4994
Mailing address:
  • Phone: 937-280-4988
  • Fax: 937-280-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: LANCE M. TIGYER
Title or Position: PARTNER
Credential: DO
Phone: 937-280-4988