Active NPI
Tri County Orthopedic Surgeons Incorporated
- Orthopaedic Surgery Physician
- Massillon, OH
National Provider Identifier
1639172745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3505
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3505 | OH | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 4160 | OH | |
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2599068 | Medicaid | OH | |
| 0817772 | Medicaid | OH | |
| 4160 | Other | OH | JEFFREY COCHRAN LICENSE |
| 3505 | Other | OH | DANIEL MORETTA LICENSE |
| 0530956 | Medicaid | OH | |
| 0242437 | Medicaid | OH | |
| 36003415 | Other | OH | LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Naples, FL
- NPI 1558326538
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
- Brandy Marie Townsend
- Tony Marvel Townsend, LSW
- Tracy O St.Clair LLC
- Deborah Ann Traugh, LPN
- Beth Marie Traveria, PSYD, LPCC
- Tri-County Hematology & Oncology Associates Inc
- Tri-County Hematology & Oncology Associates, Inc.
- Tri-County Hematology and Oncology Associates
- Danielle Trippett
- Kathryn Suzanne Trompower, D.C.
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.