Healthcare Provider Details

I. General information

NPI: 1992986376
Provider Name (Legal Business Name): PLEDGER ORTHOPEDIC & SPINE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 04/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 LONG MEADOW DR
FRANKLIN OH
45005-9687
US

IV. Provider business mailing address

5900 LONG MEADOW DR
FRANKLIN OH
45005-9687
US

V. Phone/Fax

Practice location:
  • Phone: 513-420-3773
  • Fax: 513-727-2539
Mailing address:
  • Phone: 513-420-3773
  • Fax: 513-727-2539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN ROY PLEDGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-727-2538