Healthcare Provider Details
I. General information
NPI: 1225086473
Provider Name (Legal Business Name): CENTER FOR ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2006
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE OH
44054-2849
US
IV. Provider business mailing address
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE OH
44054-1451
US
V. Phone/Fax
- Phone: 440-329-2800
- Fax: 440-329-2810
- Phone: 440-329-2800
- Fax: 440-329-2810
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
VEHOVEC
Title or Position: VP & CORPORATE CONTROLLER
Credential:
Phone: 216-767-8729