MEDICARE: ORTHOPEDIC ONE, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	35-04-7762-K	OH

General Provider Information

NPI Number	:	1376868448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC ONE, INC.

Provider Business Mailing Address
First Line	:	170 TAYLOR STATION RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4491
Country	:	US
Telephone Number	:	614-545-7900
Fax Number	:	614-545-7901

Provider Business Practice Location Address
First Line	:	560 N. CLEVELAND AVENUE
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-9105
Country	:	US
Telephone Number	:	614-839-2300
Fax Number	:	614-839-2301

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JOEL POLITI
Credential	:	MD
Telephone Number	:	614-545-7900

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	05/24/2016

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Directions to “ORTHOPEDIC ONE, INC. ” Practice Location

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