Organization Active NPI

Delaware Orthopedics & Sports Medicine Inc

  • Orthopaedic Surgery Physician
  • Delaware, OH
National Provider Identifier
1316973886
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DELAWARE ORTHOPEDICS & SPORTS MEDICINE INC
Practice address
460 W. Central Ave
Delaware, OH 43015
Phone
(740) 369-8751
Fax
(740) 363-7265
NPI assigned
Jun 24, 2006
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
John W McGrail, MD
Title
Physician
Phone
(740) 369-8751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

460 W. Central Ave
Delaware, OH 43015

Mailing address

460 W. Central Ave
Delaware, OH 43015
Phone (740) 369-8751

Other identifiers 1

IdentifierTypeStateIssuer
0872640MedicaidOH

National Provider Directory

National Provider Directory

Locations

460 W Central Ave
Delaware, OH 43015
Phone (740) 369-8751

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1316973886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W. CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-369-8751",
            "fax_number": "740-363-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W. CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-369-8751",
            "fax_number": "740-363-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE ORTHOPEDICS & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "MCGRAIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-369-8751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0872640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.