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NPI Code Detail

MEDICARE: ORTHOPAEDIC ASSOCIATES INC

MEDICARE: ORTHOPAEDIC ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
22082S0105XSurgery of the Hand (Plastic Surgery) Physician
3207X00000XOrthopaedic Surgery Physician
4208200000XPlastic Surgery Physician
5208600000XSurgery Physician
62086S0105XSurgery of the Hand (Surgery) Physician
7207XS0106XOrthopaedic Hand Surgery Physician

General Provider Information

NPI Number : 1164391181
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDIC ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 328
Second Line :
City : EVANSVILLE
State : IN
Zip : 47702-0328
Country : US
Telephone Number : 812-424-9291
Fax Number : 812-421-2722
Provider Business Practice Location Address
First Line : 1150 LINCOLN AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-1071
Country : US
Telephone Number : 812-424-9291
Fax Number : 812-421-2722
Authorized Official
Title or Position : CEO
Name : JERRY BLANTON
Credential :
Telephone Number : 812-424-9291
Provider Enumeration Date : 10/30/2025
Last Update Date : 01/16/2026

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Directions to “ORTHOPAEDIC ASSOCIATES INC ” Practice Location

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