MEDICARE: CENTER OF ORTHOPEDIC SURGERY 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	207X00000X	Orthopaedic Surgery Physician

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

General Provider Information

NPI Number	:	1558323345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER OF ORTHOPEDIC SURGERY INC

Provider Business Mailing Address
First Line	:	1 INFINITY CORPORATE CENTRE DR
Second Line	:	STE 160
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2933
Country	:	US
Telephone Number	:	216-581-5555
Fax Number	:	216-518-2968

Provider Business Practice Location Address
First Line	:	1 INFINITY CORPORATE CENTRE DR
Second Line	:	STE 160
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2933
Country	:	US
Telephone Number	:	216-581-5555
Fax Number	:	216-518-2968

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES ANTHONY LOPRESTI
Credential	:	MD
Telephone Number	:	216-581-8570

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	10/22/2007

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