Active NPI
Fidelity Orthopedic Inc
- Prosthetic/Orthotic Supplier
- Centerville, OH
National Provider Identifier
1851365472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2307417 | Medicaid | OH |
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.
-
- Prosthetic/Orthotic Supplier
- Dayton, OH
- NPI 1851764419
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.