Organization Active NPI

Fidelity Orthopedic Inc

  • Prosthetic/Orthotic Supplier
  • Centerville, OH
National Provider Identifier
1851365472
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FIDELITY ORTHOPEDIC INC
Practice address
7677 Yankee St
Suite 210
Centerville, OH 45459-3475
Phone
(937) 435-7041
Fax
(937) 228-8193
NPI assigned
Feb 13, 2006
Organization subpart
Yes
Parent organization
FIDELITY ORTHOPEDIC INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. Mark Murka
Title
Director
Phone
(937) 228-0682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

7677 Yankee St
Suite 210
Centerville, OH 45459-3475

Mailing address

8514 N. Main St.
Dayton, OH 45415-1325
Phone (937) 228-0682

Other identifiers 1

IdentifierTypeStateIssuer
2307417MedicaidOH

National Provider Directory

National Provider Directory
Part of
Fidelity Orthopedic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1851365472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 N. MAIN ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151325",
            "telephone_number": "937-228-0682",
            "fax_number": "937-228-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST",
            "address_2": "SUITE 210",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-435-7041",
            "fax_number": "937-228-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY ORTHOPEDIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIDELITY ORTHOPEDIC INC.",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "MURKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-228-0682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.