Healthcare Provider Details

I. General information

NPI: 1285204248
Provider Name (Legal Business Name): AMERICAN ORTHOPEDICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W MARKET ST STE C
LIMA OH
45805-2759
US

IV. Provider business mailing address

1151 W 5TH AVE
COLUMBUS OH
43212-2529
US

V. Phone/Fax

Practice location:
  • Phone: 419-909-0404
  • Fax: 614-291-2874
Mailing address:
  • Phone: 614-291-6454
  • Fax: 614-291-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BRIAN WEAVER
Title or Position: SECRETARY/TREASURER
Credential: CPO/LPO
Phone: 614-291-6454