Healthcare Provider Details

I. General information

NPI: 1104399138
Provider Name (Legal Business Name): AMERICAN ORTHOPEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2019
Last Update Date: 01/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459 MARION WALDO RD STE 230
MARION OH
43302-7421
US

IV. Provider business mailing address

1151 W 5TH AVE
COLUMBUS OH
43212-2529
US

V. Phone/Fax

Practice location:
  • Phone: 740-375-9100
  • Fax: 614-291-6454
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

VIII. Authorized Official

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