Organization Active NPI

Fidelity Orthopedic Incorporated

  • Prosthetic/Orthotic Supplier
  • West Chester, OH
National Provider Identifier
1972577245
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FIDELITY ORTHOPEDIC INCORPORATED
Practice address
7665 Monarch CT
Suite 110
West Chester, OH 45069-2497
Phone
(513) 777-6095
Fax
(513) 779-4958
NPI assigned
Feb 14, 2006
Last updated
Apr 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
FIDELITY ORTHOPEDIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Mr. Hilmo Hodzic, CP
Title
President
Phone
(937) 228-0682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

7665 Monarch CT
Suite 110
West Chester, OH 45069-2497

Mailing address

8514 N Main St
Dayton, OH 45415-1325
Phone (937) 228-0682

Other identifiers 1

IdentifierTypeStateIssuer
2106036MedicaidOH

National Provider Directory

National Provider Directory
Part of
Fidelity Orthopedic Inc

Locations

7077 Corporate Way
Dayton, OH 45459
Phone (937) 228-0682

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.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1972577245",
    "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": "7665 MONARCH CT",
            "address_2": "SUITE 110",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692497",
            "telephone_number": "513-777-6095",
            "fax_number": "513-779-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY ORTHOPEDIC INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIDELITY ORTHOPEDIC INC",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "HODZIC",
        "authorized_official_first_name": "HILMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-228-0682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.