Organization Active NPI

Ohio Valley Orthopaedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Mason, OH
National Provider Identifier
1063569085
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OHIO VALLEY ORTHOPAEDICS AND SPORTS MEDICINE
Practice address
7450 Mason Montgomery Road
Mason, OH 45040-7892
Phone
(513) 985-3700
Fax
(513) 985-3706
NPI assigned
Jan 4, 2007
Last updated
Jun 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carol Ann Mackey
Title
Billing Manager
Phone
(513) 985-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

7450 Mason Montgomery Road
Mason, OH 45040-7892

Mailing address

8311 Montgomery Road
Cincinnati, OH 45236-2227
Phone (513) 985-3700

Other identifiers 1

IdentifierTypeStateIssuer
0939079MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1063569085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362227",
            "telephone_number": "513-985-3700",
            "fax_number": "513-985-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 MASON MONTGOMERY ROAD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407892",
            "telephone_number": "513-985-3700",
            "fax_number": "513-985-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "CAROL ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "513-985-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0939079",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.