MEDICARE: ORTHOPEDIC SERVICES, 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	335E00000X	Prosthetic/Orthotic Supplier

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	:	1962438176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC SERVICES, INC.

Provider Business Mailing Address
First Line	:	10 EDGEWOOD DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4236
Country	:	US
Telephone Number	:	864-233-7893
Fax Number	:	864-242-3247

Provider Business Practice Location Address
First Line	:	10 EDGEWOOD DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4236
Country	:	US
Telephone Number	:	864-233-7893
Fax Number	:	864-242-3247

Authorized Official
Title or Position	:	PRESSDENT/CPO
Name	:	MR. JOEL R. VANDERWOOD
Credential	:	CPO
Telephone Number	:	864-233-7893

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	08/25/2009

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