Organization Active NPI

Far Oaks Orthopedists

  • Orthopaedic Surgery Physician
  • Tipp City, OH
National Provider Identifier
1962519561
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FAR OAKS ORTHOPEDISTS
Practice address
450 North Hyatt
Suite 306
Tipp City, OH 45371
Phone
(937) 433-1336
Fax
(937) 433-1340
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Staven Michael Kleinhenz, M.D.
Title
Physician
Phone
(937) 433-1336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

450 North Hyatt
Suite 306
Tipp City, OH 45371

Mailing address

6490 Centerville Business Pkwy
Centerville, OH 45459
Phone (937) 433-1336

Other identifiers 2

IdentifierTypeStateIssuer
DC5010OtherOHMEDICARE RAILROAD
0379399MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Far Oaks Orthopedists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 N Hyatt St
Ste 306
Tipp City, OH 45371
Phone (937) 298-0453

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1962519561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-433-1336",
            "fax_number": "937-433-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTH HYATT",
            "address_2": "SUITE 306",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "45371",
            "telephone_number": "937-433-1336",
            "fax_number": "937-433-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR OAKS ORTHOPEDISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "KLEINHENZ",
        "authorized_official_first_name": "STAVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-433-1336",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC5010",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.