Bone and Joint Surgeons, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1540124 Issued in OH

Legal business name

BONE AND JOINT SURGEONS, INC.

Practice address

2587 Commons Blvd
Suite 110
Beavercreek, OH 45431-3841

Phone

(937) 836-3118

Fax

(937) 836-3118

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shelli Ann Powell, M.D.

Title

President

Phone

(937) 836-3118

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1952336463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 COMMONS BLVD",
            "address_2": "SUITE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313841",
            "telephone_number": "937-836-3118",
            "fax_number": "937-832-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 COMMONS BLVD",
            "address_2": "SUITE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313841",
            "telephone_number": "937-836-3118",
            "fax_number": "937-836-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE AND JOINT SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-836-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "1540124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2569840",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2569788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie P. Blue, LCSW
• Michael B Blue, LPC
• Tracie L Bolden, MD
• Laureene Bollinger
• Elizabeth Bond
• Megan Nicole Bonecutter, M.A., LPC
• Garrett Craig Boone, CRNA
• Stefanie Boone, RN
• Karen Joann Borchers, R.N. M.S.N. C.N.S.
• Theresa Marie Borchers, C.R.N.P.

• Orthopaedic Surgery Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.