MEDICARE: ORTHOPEDIC ASSOCIATES OF MEADVILLE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
2	207XS0117X	Orthopaedic Surgery of the Spine Physician
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
4	208100000X	Physical Medicine & Rehabilitation Physician
5	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
6	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
2	700149	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1982631206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC ASSOCIATES OF MEADVILLE, P.C.

Provider Business Mailing Address
First Line	:	11277 VERNON PL STE 200
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-3719
Country	:	US
Telephone Number	:	814-724-1252
Fax Number	:	814-333-8871

Provider Business Practice Location Address
First Line	:	11277 VERNON PLACE
Second Line	:	SUITE 200
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2348
Country	:	US
Telephone Number	:	814-724-1252
Fax Number	:	814-333-8871

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	KAY A HIGBY
Credential	:
Telephone Number	:	814-724-1252

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	01/24/2022

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