Active NPI
Orthocincy
Doing business as Reconstructive Orthopaedics
- Sports Medicine (Orthopaedic Surgery) Physician
- Lebanon, OH
National Provider Identifier
1588864938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ORTHOCINCY
- Doing business as
- Reconstructive Orthopaedics
- Practice address
- 100 Arrow Springs Blvd
Suite 2600
Lebanon, OH 45036-9864 - Phone
- (513) 793-3933
- Fax
- (513) 793-8299
- NPI assigned
- Jul 24, 2007
- Organization subpart
- Yes
- Parent organization
- ORTHOCINCY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann M Reis
- Title
- Executive Director
- Phone
- (517) 817-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
100 Arrow Springs Blvd
Suite 2600
Lebanon, OH 45036-9864
Mailing address
560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00399980003 | Other | OH | DURABLE MEDICAL EQUIPMENT |
| 0202140 | Medicaid | OH |
Other names 1
- Reconstructive Orthopaedics
National Provider Directory
National Provider Directory- Part of
- Orthocincy Orthopaedics Sports Medicine PSC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Fairfield, OH
- NPI 1679773022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1588864938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-817-7500",
"fax_number": "859-817-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARROW SPRINGS BLVD",
"address_2": "SUITE 2600",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369864",
"telephone_number": "513-793-3933",
"fax_number": "513-793-8299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOCINCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOCINCY",
"enumeration_date": "2007-07-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "REIS",
"authorized_official_first_name": "JOANN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "517-817-7070"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE MEDICAL EQUIPMENT",
"identifier": "00399980003",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202140",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reconstructive Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.