KEYSTONE ORTHOPAEDIC SPECIALISTS LLC (NPI# 1801368097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801368097 |
| Entity Type | Organization |
| Organization Name | KEYSTONE ORTHOPAEDIC SPECIALISTS LLC |
| Practice Address |
11 Fairlane Rd Reading PA 19606-9567 |
| Practice Telephone | 6107792663 |
| Practice Fax Number | 6107793367 |
| Mailing Telephone | 6107792663 |
| Mailing Fax Number | 6107793367 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | SANDY FEEHRER (BILLING MANAGER) |
| Authorized Official Telephone | 6107792663 |
| Is Organization Subpart | Y |
| Parent Organization Name | KEYSTONE ORTHOPAEDIC SPECIALISTS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164972147 | Keystone Orthopaedic Specialists LLC | Orthopaedic Surgery | 301 S 7th Ave, Suite 365, West Reading, PA 19611-1410 | 2016-10-13 |
| 1811275530 | Keystone Orthopaedic Specialists LLC | Orthopaedic Surgery | 2758 Century Blvd, Suite 2, Wyomissing, PA 19610-3358 | 2011-07-29 |
| 1346541034 | Keystone Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 1270 Broadcasting Rd, Wyomissing, PA 19610-3203 | 2010-11-11 |
| Street Address |
11 FAIRLANE RD |
| City | READING |
| State | PA |
| Zip Code | 19606-9567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975174 | John P Stelmach | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-08 |
| 1376042747 | Alexa Yoder | Physical Therapist | 11 Fairlane Rd, Reading, PA 19606-9567 | 2018-02-12 |
| 1295144368 | Colleen Louise Schwartz | Occupational Therapist | 11 Fairlane Rd, Reading, PA 19606-9567 | 2014-08-04 |
| 1447687561 | Kelly S Eaton | Physician Assistant | 11 Fairlane Rd, Reading, PA 19606-9567 | 2013-10-03 |
| 1407292378 | Jenna Nicole Lusky | Mechanotherapist | 11 Fairlane Rd, Reading, PA 19606-9567 | 2013-05-17 |
| 1952687402 | Krysta Ann Sensbach | Specialist/Technologist | 11 Fairlane Rd, Reading, PA 19606-9567 | 2011-10-28 |
| 1457647984 | Keith Andrew Heck | Family Medicine | 11 Fairlane Rd, Reading, PA 19606-9567 | 2011-06-23 |
| 1265742977 | Leighann Frazer | Physician Assistant | 11 Fairlane Rd, Reading, PA 19606-9567 | 2010-10-15 |
| 1821315094 | Keystone Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 11 Fairlane Rd, Reading, PA 19606-9567 | 2010-04-28 |
| 1366633125 | Vanessa Lynn Bowers | Physical Therapist | 11 Fairlane Rd, Reading, PA 19606-9567 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699293977 | Vitalia Lopez | Licensed Practical Nurse | 1064 Fox Run, Reading, PA 19606 | 2017-09-06 |
| 1033665815 | Tyler Black | Pharmacist | 320 Parkview Ave, Reading, PA 19606 | 2016-08-31 |
| 1003285214 | Brittany Stankovic | Speech-Language Pathologist | 208 Lincoln Drive, Reading, PA 19606 | 2015-09-17 |
| 1225431190 | Theodore Wallace Jr. | Behavioral Analyst | 66 Rockhaven Court, Reading, PA 19606 | 2014-10-06 |
| 1326314790 | Megan Ann Guzowski | Occupational Therapy Assistant | 5501 Perkiomen Avenue, Reading, PA 19606 | 2012-03-29 |
| 1720241367 | Jose A Ruiz Martinez | Pharmacist | 23 Pickwick Pl, Exeter, PA 19606 | 2008-07-03 |
| 1194925263 | Jon M Kanegawa | Dentist | 4462 Boyertown Pike, Reading, PA 19606 | 2007-07-18 |
| 1780722298 | Randal Cory Reinecker | Dentist | 5 Hearthstone Court, Suite 102, Reading, PA 19606 | 2007-02-05 |
| 1003953423 | James C Petras | Dentist | 2951 St Lawrence Ave, Reading, PA 19606 | 2007-02-01 |
| 1639234966 | Glenn D Ruoss | Dentist | 17 North 23rd St, Mt Penn, PA 19606 | 2006-12-27 |
| Find all providers in zip 19606 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194971192 | Advanced Orthopedics of Reading, LLC | Orthopaedic Surgery | 2211 Quarry Drive, Suite E52, Reading, PA 19609-1161 | 2008-08-11 |
| 1679537435 | Jorge Bustillo | Orthopaedic Surgery | 2494 Bernville Road, Suite 205, Reading, PA 19605-9469 | 2006-04-17 |
| 1619975174 | John P Stelmach | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-08 |
| 1356635619 | Christopher Schumacher | Orthopaedic Surgery | 2494 Bernville Rd Ste 205, Reading, PA 19605-9467 | 2011-06-04 |
| 1699096768 | Justin Clayton | Orthopaedic Surgery | 2494 Bernville Rd, Suite 203, Reading, PA 19605-9469 | 2010-06-11 |
| 1497843924 | Martin Ross | Orthopaedic Surgery | 2494 Bernville Rd, Ste 200, Reading, PA 19605 | 2006-10-10 |
| 1447205265 | Leonid Dabuzhsky | Orthopaedic Surgery | 30 New Crossing Rd, Suite 200, Reading, MA 01867-3270 | 2006-05-23 |
| 1730148727 | Commonwealth Orthopaedic Associates, Inc. | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2006-03-20 |
| 1154329522 | John A Martin Jr. | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-11 |
| 1366440810 | John C Dethoff | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-08 |
| Find all providers in READING | ||||
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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.