Active NPI
Orthocincy Orthopaedics & Sports Medicine PSC
- Orthopaedic Surgery Physician
- Erlanger, KY
National Provider Identifier
1255848065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
- Practice address
- 700 Dolwick Dr
Erlanger, KY 41018 - Phone
- (859) 301-2663
- Fax
- (859) 817-7848
- NPI assigned
- Jan 2, 2018
- Last updated
- Aug 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann Marie Reis
- Title
- Ceo
- Phone
- (859) 817-7070
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | NU | ||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | NU | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | NU | ||
| Podiatrist | 213E00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Medical Physician Assistant | 363AM0700X | NU | ||
| Surgical Physician Assistant | 363AS0400X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
700 Dolwick Dr
Erlanger, KY 41018
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1255848065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173405",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 DOLWICK DR",
"city": "ERLANGER",
"state": "KY",
"postal_code": "41018",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-02",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A",
"authorized_official_last_name": "REIS",
"authorized_official_first_name": "JOANN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-817-7070"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erlanger, KY
- Northern Kentucky Behavioral, LLC
- Northern Kentucky Independent District Health Department
- Occupational Health Centers of the Southwest PA (Concentra Medical Center)
- Richard James Ohmer, M.D.
- Dominic Thomas Oliverio, ATC
- Jamie Otte
- Josiane Caroline Parent, PHARMD
- Ami Shreyash Patel, APRN, FNP-C
- Bhoomika Patel
- Julie Ann Pauly, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.