Healthcare Provider Details

I. General information

NPI: 1942966478
Provider Name (Legal Business Name): ORTHOPEDIC SURGEONS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 11/09/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 N 21ST ST
CAMP HILL PA
17011-2202
US

IV. Provider business mailing address

3399 TRINDLE RD
CAMP HILL PA
17011-4407
US

V. Phone/Fax

Practice location:
  • Phone: 717-761-5530
  • Fax: 717-737-7197
Mailing address:
  • Phone: 717-761-5530
  • Fax: 717-737-7197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: HOLLY H BROWN
Title or Position: CREDENTIALING
Credential:
Phone: 717-920-1861