Progressive Orthopaedics, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35045740 Issued in OH

Legal business name

PROGRESSIVE ORTHOPAEDICS, INC

Practice address

150 Springside Dr
Suite C320
Akron, OH 44333-2468

Phone

(330) 670-8020

Fax

(330) 670-8045

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip Gary Wilcox, M.D.

Title

President/Progressive Orthopaedics,

Phone

(330) 670-8020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1467635532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DR",
            "address_2": "SUITE C320",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332468",
            "telephone_number": "330-670-8020",
            "fax_number": "330-670-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DR",
            "address_2": "SUITE C320",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332468",
            "telephone_number": "330-670-8020",
            "fax_number": "330-670-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ORTHOPAEDICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/PROGRESSIVE ORTHOPAEDICS,",
        "authorized_official_telephone_number": "330-670-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35045740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634728",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Akron, OH
• Providers in Akron, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.