NPIMap

Organization Active NPI

Orthopaedic Institute of Ohio, Inc

  • Orthopaedic Surgery Physician
  • Lima, OH
National Provider Identifier
1902886492
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC INSTITUTE OF OHIO, INC
Practice address
801 Medical Dr
Suite a
Lima, OH 45804-4099
Phone
(419) 222-6622
Fax
(419) 224-0015
NPI assigned
Jan 19, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPAEDIC INSTITUTE OF OHIO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mrs. Kathy Ackerman
Title
Administrator
Phone
(419) 222-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

801 Medical Dr
Suite a
Lima, OH 45804-4099

Mailing address

801 Medical Dr
Suite a
Lima, OH 45804-4099
Phone (419) 222-6622

Other identifiers 1

IdentifierTypeStateIssuer
2030420MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040706001065 OH Part B Supplier - Clinic/Group Practice 2860479078 Receives reassigned benefits from 77 practitioners
7 other NPIs on this enrollment
Practice locations: Willard, OH; Van Wert, OH; Upper Sandusky, OH; Defiance, OH; Tiffin, OH; Sidney, OH; Saint Marys, OH; Paulding, OH…
O20100930039127 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2860479078 Practice locations: Lima, OH

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Orthopaedic Inst of Ohi

Locations

801 Medical Dr
Lima, OH 45804
Phone (419) 227-0205

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

1100 Neal Zick Rd
Ste A
Willard, OH 44890

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1902886492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044099",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044099",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC INSTITUTE OF OHIO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC INSTITUTE OF OHIO, INC",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-222-6622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.