MEDICARE: ORTHOWEST LTD

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	332B00000X	Durable Medical Equipment & Medical Supplies	4648210001	OH
2	207X00000X	Orthopaedic Surgery Physician		OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CJ5824	OTHER	OH	RRMEDICARE GROUPID

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	:	1982603643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOWEST LTD

Provider Business Mailing Address
First Line	:	7255 OLD OAK BLVD
Second Line	:	C405
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3329
Country	:	US
Telephone Number	:	440-816-5380
Fax Number	:	440-816-5398

Provider Business Practice Location Address
First Line	:	7255 OLD OAK BLVD
Second Line	:	C405
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3331
Country	:	US
Telephone Number	:	440-816-5380
Fax Number	:	440-816-5398

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL ALAN BANKS
Credential	:	M.D.
Telephone Number	:	440-816-5380

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1649278425 — DR. MICHAEL ALAN BANKS M.D.
Practice Location Address:

7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH
44130-3331

Practice Phone: 440-816-5380
Practice Fax: 440-816-5398

1093872335 — WILLIAM HAROLD PERKINS ATC
Practice Location Address:

7255 OLD OAK BLVD STE C405
MIDDLEBURG HEIGHTS, OH
44130-3331

Practice Phone: 440-816-5380
Practice Fax:

1114587011 — NICOLE WOODS PA-C
Practice Location Address:

7255 OLD OAK BLVD BLDG C SUITE 405
MIDDLEBURG HEIGHTS, OH
44130-3331

Practice Phone: 440-816-5380
Practice Fax:

1164171377 — ISAAC KORB
Practice Location Address:

7255 OLD OAK BLVD STE C408
MIDDLEBURG HEIGHTS, OH
44130-3331

Practice Phone: 440-816-2735
Practice Fax:

1871678011 — ROBERT D MOSTELLER MD
Practice Location Address:

7255 OLD OAK BLVD STE C408
CLEVELAND, OH
44130-3331

Practice Phone: 440-414-9500
Practice Fax: 216-201-5590

1467614990 — DR. MARK LOUIS LEMBACH M.D.
Practice Location Address:

7255 OLD OAK BLVD STE C405
CLEVELAND, OH
44130-3331

Practice Phone: 440-816-5380
Practice Fax: 440-816-5398

Directions to “ORTHOWEST LTD ” Practice Location

Language	Start Address	Practice Location

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