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NPI Code Detail

MEDICARE: ORTHOPAEDIC ASSOCIATES, INC.

MEDICARE: ORTHOPAEDIC ASSOCIATES, 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
1208600000XSurgery Physician
22086S0105XSurgery of the Hand (Surgery) Physician
3363L00000XNurse Practitioner
4213ES0103XFoot & Ankle Surgery Podiatrist
5363A00000XPhysician Assistant
6207XX0005XSports Medicine (Orthopaedic Surgery) Physician
7363LA2100XAcute Care Nurse Practitioner
8363LF0000XFamily Nurse Practitioner
9363AS0400XSurgical Physician Assistant
10208100000XPhysical Medicine & Rehabilitation Physician
112082S0105XSurgery of the Hand (Plastic Surgery) Physician
12207XS0117XOrthopaedic Surgery of the Spine Physician
13207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1922477686
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDIC ASSOCIATES, INC.
Provider Business Mailing Address
First Line : PO BOX 328
Second Line :
City : EVANSVILLE
State : IN
Zip : 47702-0328
Country : US
Telephone Number : 812-424-9291
Fax Number : 812-421-2722
Provider Business Practice Location Address
First Line : 5828 PEARL DR
Second Line :
City : EVANSVILLE
State : IN
Zip : 47712-8116
Country : US
Telephone Number : 812-424-9291
Fax Number : 812-421-2722
Authorized Official
Title or Position : CEO
Name : JERRY BLANTON
Credential :
Telephone Number : 812-424-9291
Provider Enumeration Date : 09/23/2015
Last Update Date : 04/13/2026

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