Healthcare Provider Details

I. General information

NPI: 1235174467
Provider Name (Legal Business Name): OHIO ORTHOPAEDICS & SPORTS MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 BRIGHT ROAD
FINDLAY OH
45840-0000
US

IV. Provider business mailing address

1501 BRIGHT ROAD
FINDLAY OH
45840-0000
US

V. Phone/Fax

Practice location:
  • Phone: 419-424-0131
  • Fax: 419-424-5595
Mailing address:
  • Phone: 419-424-0131
  • Fax: 419-424-5595

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 Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA L BAKER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 419-434-3779