Healthcare Provider Details
I. General information
NPI: 1740436757
Provider Name (Legal Business Name): ORTHOPAEDICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2008
Last Update Date: 08/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 COLLIER DR
DOYLESTOWN OH
44230-9757
US
IV. Provider business mailing address
566 ROBINSON AVE SUITE 400
BARBERTON OH
44203-3652
US
V. Phone/Fax
- Phone: 330-753-1015
- Fax: 330-753-3103
- Phone: 330-753-1015
- Fax: 330-753-3103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
P
KENNEDY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-753-1015