MEDICARE: ORTHOPAEDIC SURGERY SURGICAL ASSISTANTS PC

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

General Provider Information

NPI Number	:	1568325975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC SURGERY SURGICAL ASSISTANTS PC

Provider Business Mailing Address
First Line	:	7 FARM RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 FARM RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3303
Country	:	US
Telephone Number	:	309-531-0220
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YALE A FILLINGHAM
Credential	:	MD
Telephone Number	:	309-531-0220

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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