Healthcare Provider Details

I. General information

NPI: 1902057524
Provider Name (Legal Business Name): ORTHOPEDIC SURGEONS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 POWERS AVENUE
HARRISBURG PA
17109
US

IV. Provider business mailing address

3399 TRINDLE ROAD
CAMP HILL PA
17011
US

V. Phone/Fax

Practice location:
  • Phone: 717-901-4236
  • Fax:
Mailing address:
  • Phone: 717-901-4236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY L GINGRICH
Title or Position: BUSINESS OFFICE MANAGER
Credential: CPC
Phone: 717-901-4236