Sylvania Orthopaedics and Rehabilitation, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SYLVANIA ORTHOPAEDICS AND REHABILITATION, LLC

Practice address

5750 Alexis Rd
Sylvania, OH 43560-2349

Phone

(419) 824-0300

Fax

(419) 824-0500

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Joseph J. Rusin, M.D.

Title

President

Phone

(419) 824-0300

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1093872376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 ALEXIS RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602349",
            "telephone_number": "419-824-0300",
            "fax_number": "419-824-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 ALEXIS RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602349",
            "telephone_number": "419-824-0300",
            "fax_number": "419-824-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANIA ORTHOPAEDICS AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "RUSIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-824-0300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002275",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2848637",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvania Community Action Team
• Sylvania Dental Group
• Sylvania Divine Opco LLC
• Sylvania Family Health and Wellness Center Inc
• Sylvania Orthodontics, Inc. (Drs. Simon, Haerian & Ludwig)
• Sylvania Pediatric Dental Care, Inc.
• Sylvania Pharmacy Limited
• Sylvania RX LLC
• Sylvania SNF Opco LLC (Sylvania Health Care Center)
• Sylvania Speech, LLC

• Orthopaedic Surgery Physician in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.