NPIMap

Organization Active NPI

Orthopedic Trauma Services LTD

Doing business as Orthopaedic Trauma Reconstructive Surgery

  • Orthopaedic Surgery Physician
  • Columbus, OH
National Provider Identifier
1285622688
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC TRAUMA SERVICES LTD
Doing business as
Orthopaedic Trauma Reconstructive Surgery
Practice address
285 E State St
Suite 500
Columbus, OH 43215-4354
Phone
(614) 566-7777
Fax
(614) 566-8880
NPI assigned
Oct 10, 2005
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. Mark Wuestewald
Title
Rev. Cycle Director
Phone
(614) 544-6351

Specialties & licenses 1

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

Addresses

Primary practice location

285 E State St
Suite 500
Columbus, OH 43215-4354

Mailing address

5350 Frantz Rd
Dublin, OH 43016-4259
Phone (614) 544-6356

Other identifiers 1

IdentifierTypeStateIssuer
2571917MedicaidOH

Other names 1

  • Orthopaedic Trauma Reconstructive Surgery Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

L3061
Columbus, OH 43260

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1285622688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164259",
            "telephone_number": "614-544-6356",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "SUITE 500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154354",
            "telephone_number": "614-566-7777",
            "fax_number": "614-566-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC TRAUMA SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "WUESTEWALD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "REV. CYCLE DIRECTOR",
        "authorized_official_telephone_number": "614-544-6351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2571917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Trauma Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.