MEDICARE: ORTHOPARTNERS 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	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538393855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPARTNERS INC.

Provider Business Mailing Address
First Line	:	2534 EMPIRE DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6710
Country	:	US
Telephone Number	:	336-397-2165
Fax Number	:	336-397-2167

Provider Business Practice Location Address
First Line	:	766 N SUN DR
Second Line	:	SUITE 3090
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2552
Country	:	US
Telephone Number	:	407-878-7995
Fax Number	:	407-878-7998

Authorized Official
Title or Position	:	DIRECTOR, CONTRACTING
Name	:	JANET WOODALL
Credential	:
Telephone Number	:	336-397-0993

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	01/03/2022

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