Orthopedic Reconstructive Surgery, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35032228P Issued in OH

Legal business name

ORTHOPEDIC RECONSTRUCTIVE SURGERY, INC

Practice address

5692 Far Hills Ave
Suite 4
Dayton, OH 45429-2239

Phone

(937) 433-2054

Fax

(937) 433-1069

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth P Pohl, M.D.

Title

President

Phone

(937) 433-2054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1326245663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "address_2": "SUITE 4",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292239",
            "telephone_number": "937-433-2054",
            "fax_number": "937-433-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "address_2": "SUITE 4",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292239",
            "telephone_number": "937-433-2054",
            "fax_number": "937-433-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC RECONSTRUCTIVE SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-433-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35032228P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Associates of Dayton, Inc
• Orthopedic Associates of S W Ohio Inc,
• Orthopedic Associates of S W Ohio, Inc
• Orthopedic Associates of Southwestern Ohio, Inc
• Orthopedic Associates of SW Ohio, Inc
• Jasmine Ortiz, MA, SLP
• Luis Tony Ortiz, ATC
• Margaret Love Ortiz, LCDCIII
• Marlene Ortiz
• Tyler Ortlieb, ATC

• Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.