Healthcare Provider Details

I. General information

NPI: 1093139248
Provider Name (Legal Business Name): ORTHOPEDIC SURGEONS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2014
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N 12TH ST STE D
SUNBURY PA
17801-1654
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 TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY GINGRICH
Title or Position: SPECIAL PROJECTS
Credential: CPC
Phone: 717-901-4236