Healthcare Provider Details

I. General information

NPI: 1982603643
Provider Name (Legal Business Name): ORTHOWEST LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7255 OLD OAK BLVD C405
MIDDLEBURG HEIGHTS OH
44130-3331
US

IV. Provider business mailing address

7255 OLD OAK BLVD C405
MIDDLEBURG HEIGHTS OH
44130-3329
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-5380
  • Fax: 440-816-5398
Mailing address:
  • Phone: 440-816-5380
  • Fax: 440-816-5398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4648210001
License Number StateOH

VIII. Authorized Official

Name: DR. MICHAEL ALAN BANKS
Title or Position: OWNER
Credential: M.D.
Phone: 440-816-5380