Unknown Individual – Orthopaedic Surgery Physician, NPI 1528149515
Orthopaedic Surgery Physician
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Provider Addresses for Unknown Individual
819 STATE ROUTE 664 N STE B
LOGAN, OH 431388540
Phone: (740) 380-8140
Fax: (740) 380-8150
Type: Location
819 State Route 664 N Ste B
Logan, OH 431388540
Phone: (740) 380-8140
Fax: (740) 380-8150
Type: Location
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1310
Fax: (937) 522-8068
Type: Mailing
1141 N MONROE DR FL 1
XENIA, OH 453851619
Phone: (937) 374-4036
Fax: (937) 374-4034
Type: Location
228, Logan Road, Buranda, Woolloongabba, Brisbane City, Queensland, 4120, Australia
LOGAN, OH 431380228
Phone: (740) 380-8140
Fax: (740) 380-8150
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43138)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OH | 27447 | Repair of knee joint | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH |
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