Main Line Orthopaedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MAIN LINE ORTHOPAEDICS PC

Practice address

101 S Bryn Mawr Ave
Suite 200
Bryn Mawr, PA 19010-3120

Phone

(610) 527-9500

Fax

(610) 527-9529

NPI assigned

Jan 23, 2006

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph V VernaceNPI 1932105798

Title

Owner

Phone

(610) 527-9500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 4

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.

• Joseph V Vernace, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bryn Mawr, PA
  • NPI 1932105798
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy S Cavanaugh, PAC

  • Physician Assistant
  • Mount Laurel, NJ
  • NPI 1558432922

  PA

  Medicare reassignment Care Compare group
• Sara W Jackson, PA

  • Physician Assistant
  • Exton, PA
  • NPI 1790055465
  Medicare reassignment
• Lisa S Kyriakatos, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1831277177
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1750361978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-527-9500",
            "fax_number": "610-527-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-527-9500",
            "fax_number": "610-527-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE ORTHOPAEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "VERNACE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-527-9500"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "815911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CN2718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.