Healthcare Provider Details

I. General information

NPI: 1447389259
Provider Name (Legal Business Name): PERFORMANCE ORTHOPEDIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 HOSFORD RD
GALION OH
44833-9325
US

IV. Provider business mailing address

PO BOX 704
GALION OH
44833-0704
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-7059
  • Fax:
Mailing address:
  • Phone: 419-468-7059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35058529
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number34006810
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35082136
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4543
License Number StateOH

VIII. Authorized Official

Name: JAMES R KERBS
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 419-468-7059