NPIMap

Organization Active NPI

Orthocincy

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fairfield, OH
National Provider Identifier
1679773022
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOCINCY
Practice address
2960 Mack Rd
Suite 101
Fairfield, OH 45014
Phone
(513) 793-3933
Fax
(513) 793-8299
NPI assigned
Jul 24, 2007
Last updated
Oct 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Joann Marie Reis
Title
Manager/Ceo
Phone
(859) 817-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

2960 Mack Rd
Suite 101
Fairfield, OH 45014

Mailing address

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-7500

Other identifiers 1

IdentifierTypeStateIssuer
0399980002OtherOHDURABLE MEDICAL EQUIPMENT

National Provider Directory

National Provider Directory
Tax ID family
Orthocincy17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

8099 Cornell Rd
Cincinnati, OH 45249
Phone (513) 985-2256

2960 Mack Rd
Ste 101
Fairfield, OH 45014

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

  • Orthocincy

    dba Reconstructive Orthopaedics

    • Sports Medicine (Orthopaedic Surgery) Physician
    • Lebanon, OH
    • NPI 1588864938
    NPPES parent name

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1507680000000",
    "number": "1679773022",
    "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": "2960 MACK RD",
            "address_2": "SUITE 101",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-793-3933",
            "fax_number": "513-793-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCINCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "859-817-7070"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT",
            "identifier": "0399980002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.