Keystone Orthopaedic Specialists, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEYSTONE ORTHOPAEDIC SPECIALISTS, LLC

Practice address

1235 Penn Ave
Wyomissing, PA 19610-2100

Phone

(610) 779-2663

Fax

(610) 374-6120

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John A Martin Jr., MD

Title

Board Member

Phone

(610) 779-2663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1386961555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-779-2663",
            "fax_number": "610-374-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ORTHOPAEDIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "610-779-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Orthopaedic Specialists Group LLC
• Keystone Orthopaedic Specialists Group LLC
• Keystone Orthopaedic Specialists LLC
• Keystone Orthopaedic Specialists LLC
• Keystone Orthopaedic Specialists LLC (Arthritis and Joint Replacement Center of Reading)
• Keystone Orthopaedic Specialists,LLC
• Yasmeen Khaskia, M.D.
• James N Kim, M.D.
• Paul Young-Chan Kim, D.O.
• Sanghoon Kim, MD

• 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 Apr 6, 2018; 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.