Active NPI
Far Oaks Orthopedists
- Orthopaedic Surgery Physician
- Tipp City, OH
National Provider Identifier
1962519561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC5010 | Other | OH | MEDICARE RAILROAD |
| 0379399 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Far Oaks Orthopedists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Kettering, OH
- NPI 1700993300
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.