Keystone Orthopaedic Specialists LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MD054229L Issued in PA

Legal business name

KEYSTONE ORTHOPAEDIC SPECIALISTS LLC

Practice address

1270 Broadcasting Rd
Wyomissing, PA 19610-3203

Phone

(610) 372-1140

Fax

(610) 372-7684

NPI assigned

Nov 11, 2010

Last updated

Feb 17, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

KEYSTONE ORTHOPAEDIC SPECIALISTS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Stephen P Banco, MD

Title

President

Phone

(610) 372-1140

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Reading Neck and Spine Center Other name

Part of

Keystone Ortho Specialists

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1346541034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9202",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159202",
            "telephone_number": "610-372-1140",
            "fax_number": "610-372-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103203",
            "telephone_number": "610-372-1140",
            "fax_number": "610-372-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ORTHOPAEDIC SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE ORTHOPAEDIC SPECIALISTS LLC",
        "enumeration_date": "2010-11-11",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "BANCO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-372-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "MD054229L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1255666012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "173951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Reading Neck and Spine Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keystone Orthopaedic Specialists
• Keystone Orthopaedic Specialists
• Keystone Orthopaedic Specialists Group LLC
• Keystone Orthopaedic Specialists Group LLC
• Keystone Orthopaedic Specialists LLC
• Keystone Orthopaedic Specialists LLC (Arthritis and Joint Replacement Center of Reading)
• Keystone Orthopaedic Specialists, LLC
• Keystone Orthopaedic Specialists,LLC
• Yasmeen Khaskia, M.D.
• James N Kim, M.D.

• Durable Medical Equipment & Medical Supplies in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.