Organization Active NPI

Orthopaedic Surgical Specialists,PSC

  • Orthopaedic Surgery Physician
  • Owensboro, KY
National Provider Identifier
1598777468
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SURGICAL SPECIALISTS,PSC
Practice address
2200 E Parrish Ave
Suite 201B
Owensboro, KY 42303-1449
Phone
(270) 683-3538
Fax
(270) 683-9494
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Joseph Leo Polio, M.D.
Title
President of PSC
Phone
(270) 683-3538

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X

Addresses

Primary practice location

2200 E Parrish Ave
Suite 201B
Owensboro, KY 42303-1449

Mailing address

2200 E Parrish Ave
Suite 201B
Owensboro, KY 42303-1449
Phone (270) 683-3538

Other identifiers 2

IdentifierTypeStateIssuer
65900755MedicaidKY
95900346MedicaidKY

National Provider Directory

National Provider Directory

Locations

2211 Mayfair Dr
Ste 306
Owensboro, KY 42301
Phone (270) 683-3538

2200 E Parrish Ave
#201
Owensboro, KY 42303
Phone (270) 683-3538

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1598777468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "SUITE 201B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-683-3538",
            "fax_number": "270-683-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "SUITE 201B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-683-3538",
            "fax_number": "270-683-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGICAL SPECIALISTS,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "POLIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT OF PSC",
        "authorized_official_telephone_number": "270-683-3538",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65900755",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95900346",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.