NPIMap

Organization Active NPI

Orthopaedic Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Westlake, OH
National Provider Identifier
1649280306
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOPAEDIC ASSOCIATES, INC.
Practice address
24723 Detroit Rd
Westlake, OH 44145-2526
Phone
(440) 892-1440
Fax
(440) 892-4709
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Allan Arthur Fentner, MBA, CMPE
Title
Practice Administrator
Phone
(440) 617-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

24723 Detroit Rd
Westlake, OH 44145-2526

Mailing address

24723 Detroit Rd
Westlake, OH 44145-2526
Phone (440) 892-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013904 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8123915840 Practice locations: Westlake, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1502 Travelers Pt
Avon, OH 44011
Phone (440) 892-1440

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1649280306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24723 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452526",
            "telephone_number": "440-892-1440",
            "fax_number": "440-892-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24723 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452526",
            "telephone_number": "440-892-1440",
            "fax_number": "440-892-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "FENTNER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "440-617-7000",
        "authorized_official_credential": "MBA, CMPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.