ORTHOCINCY (NPI# 1255740197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255740197 |
| Entity Type | Organization |
| Organization Name | ORTHOCINCY |
| Practice Address |
440 Corwin Nixon Blvd South Lebanon OH 45065-1196 |
| Mailing Address |
560 S Loop Rd Edgewood KY 41017 |
| Practice Telephone | 5137933933 |
| Practice Fax Number | 5137938299 |
| Mailing Telephone | 8598177500 |
| Mailing Fax Number | 8598177851 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | JOANN MARIE REIS (MANAGER/CEO) |
| Authorized Official Telephone | 8598177070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336853 | Orthocincy | Internal Medicine | 2626 Alexandria Pike Ste 100, Highland Heights, KY 41076-1530 | 2020-01-30 |
| 1255848065 | Orthocincy | Family Medicine | 700 Dolwick Dr, Erlanger, KY 41018 | 2018-01-02 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1295353092 | Orthocincy | Family Medicine | 8251 Pine Rd Ste 212, Cincinnati, OH 45236-2194 | 2020-07-08 |
| 1639644560 | Orthocincy | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2018-10-08 |
| 1033601091 | Orthocincy | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-06-05 |
| 1942679915 | Orthocincy | Internal Medicine | 2123 Auburn Ave, Suite 630, Cincinnati, OH 45219-2906 | 2015-09-21 |
| 1073982039 | Orthocincy | Clinic/Center | 2960 Mack Rd, Suite 106, Fairfield, OH 45014-5373 | 2015-09-21 |
| 1932578044 | Orthocincy | Orthopaedic Surgery | 5900 Boymel Dr, Fairfield, OH 45014-5526 | 2015-09-18 |
| 1972991784 | Orthocincy | Pharmacy | 8726 Us 42, Florence, KY 41042 | 2014-12-31 |
| Street Address |
440 CORWIN NIXON BLVD |
| City | SOUTH LEBANON |
| State | OH |
| Zip Code | 45065-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310940 | Stephanie L Nazario | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2020-09-15 |
| 1184183360 | Mary Mccormick | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2019-03-18 |
| 1518430636 | Robert James Boyd | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2019-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897097 | Lifecare Home Health Agency | Home Health | 4580 Kibbey Ln, South Lebanon, OH 45065-1043 | 2020-10-01 |
| 1912504614 | Irene Konadu Yiadom | Registered Nurse | 4580 Kibbey Ln, South Lebanon, OH 45065-1043 | 2020-10-06 |
| 1932706868 | Festus Okoh Okai | Pharmacist | 4580 Kibbey Ln, South Lebanon, OH 45065-1043 | 2020-10-05 |
| 1609100908 | Brandi J Raycheck | Audiologist | 3569 N Section Ext, South Lebanon, OH 45065-1169 | 2009-09-21 |
| 1952547390 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2009-01-06 |
| 1730183518 | Shaun C Tubbs | Physical Therapist | 440 Corwin Nixon Blvd Ste S, South Lebanon, OH 45065-1196 | 2005-06-09 |
| 1366813131 | Christine Elizabeth Lilly | Pharmacy Technician | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2015-10-19 |
| 1760873434 | Jonathan Phelps | Pharmacy Technician | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2015-02-16 |
| 1144593351 | Rebecca Herren | Pharmacist | 400 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2012-02-17 |
| 1588950380 | Michelle Nicole Rogers | Pharmacist | 400 Corwin Nixon Blvd, Target Pharmacy Store Number T2486, South Lebanon, OH 45065-1196 | 2011-06-21 |
| Find all providers in zip 45065 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1790281517 | Mercy Health Physicians Cincinnati LLC | Orthopaedic Surgery | 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 | 2018-04-02 |
| 1952817413 | Caitlin Elisabeth Lefevre | Orthopaedic Surgery | 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 | 2017-12-20 |
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1699020206 | Benjamin D. Richman | Orthopaedic Surgery | 245 Meadowood Ln, Moreland Hills, OH 44022-1342 | 2012-07-19 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
| 1376748087 | Jovan Riste Laskovski | Orthopaedic Surgery | 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312-5277 | 2007-06-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LEBANON |
| Zip Code | 45065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.