Orthosport Innovations, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOSPORT INNOVATIONS, INC

Practice address

4208 Hickory Woods Dr
Mason, OH 45040-7236

Phone

(513) 260-4020

Fax

(513) 336-8550

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Gregg Wilhelm

Title

VP of Operations

Phone

(513) 260-4020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1447544358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 HICKORY WOODS DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 HICKORY WOODS DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407236",
            "telephone_number": "513-260-4020",
            "fax_number": "513-336-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORT INNOVATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "513-260-4020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mack Ontiveros, MD
• Charles Onwudinjo
• Ishmael Henaku Opare, MD
• Optimal Family Dental LLC
• Rick Orourke, CNIM
• Zoila Amparo Ortiz-Guzman
• Max Osadchy
• Kira Osowski, LPCC
• Ourhealth Physician Group, LLC
• Ava Owen

• Durable Medical Equipment & Medical Supplies in Mason, OH
• Providers in Mason, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.