Organization Active NPI

Tri County Orthopedic Surgeons Incorporated

  • Orthopaedic Surgery Physician
  • Massillon, OH
National Provider Identifier
1639172745
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3505 Issued in OH
Legal business name
TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED
Practice address
3244 Bailey St NW
Massillon, OH 44646-3616
Phone
(330) 837-8391
Fax
(330) 837-2221
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Daniel Neil Moretta, D.O.
Title
President
Phone
(330) 837-8391

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 3505 OH Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 4160 OH
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 36-003415 OH

Addresses

Primary practice location

3244 Bailey St NW
Massillon, OH 44646-3616

Mailing address

3244 Bailey St NW
Massillon, OH 44646-3616
Phone (330) 837-8391

Other identifiers 7

IdentifierTypeStateIssuer
2599068MedicaidOH
0817772MedicaidOH
4160OtherOHJEFFREY COCHRAN LICENSE
3505OtherOHDANIEL MORETTA LICENSE
0530956MedicaidOH
0242437MedicaidOH
36003415OtherOHLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1639172745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-837-8391",
            "fax_number": "330-837-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-837-8391",
            "fax_number": "330-837-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "MORETTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-837-8391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "3505",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OH",
            "license": "4160",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2599068",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0817772",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEFFREY COCHRAN LICENSE",
            "identifier": "4160",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DANIEL MORETTA LICENSE",
            "identifier": "3505",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0530956",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242437",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36003415",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.