MEDICARE: DR. ALAN S. LITSKY M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	35 056193	OH

General Provider Information

NPI Number	:	1184752594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN S. LITSKY M.D.

Provider Business Mailing Address
First Line	:	S-2035 DAVIS CENTER
Second Line	:	480 WEST NINTH AVE
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1228
Country	:	US
Telephone Number	:	614-293-4827
Fax Number	:	614-293-4807

Provider Business Practice Location Address
First Line	:	S-2035 DAVIS CENTER
Second Line	:	480 WEST NINTH AVE
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1228
Country	:	US
Telephone Number	:	614-293-4827
Fax Number	:	614-293-4807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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