ORTHOCINCY (NPI# 1033601091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033601091 |
| Entity Type | Organization |
| Organization Name | ORTHOCINCY |
| Practice Address |
560 S Loop Rd Edgewood KY 41017-3405 |
| Practice Telephone | 8598177500 |
| Practice Fax Number | 8598177851 |
| Mailing Telephone | 8598177500 |
| Mailing Fax Number | 8598177851 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | CHARLENE MOORE (MANAGER) |
| Authorized Official Telephone | 8598177500 |
| 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 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 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 |
| 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 |
560 S LOOP RD |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262793 | Bruce Robert Holladay | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2005-06-01 |
| 1265043103 | Karli Danielle Beasley | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2020-08-13 |
| 1972128403 | Maria Reitzes | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2020-06-10 |
| 1669019535 | Gina Schuler | Nurse Practitioner | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-12-10 |
| 1700422995 | Samuel Jacob Dedden | Physician Assistant | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-21 |
| 1740825355 | Danielle Dupont | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-07 |
| 1215596895 | Emily Nicole Rolf | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-06-07 |
| 1730747098 | Pamela Marie Wisniewski | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-06-03 |
| 1821577677 | Chase R Stanley | Specialist/Technologist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-08-13 |
| 1831682012 | Bryan Vranic | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1720349558 | Christopher J Schaefer | Orthopaedic Surgery | 740 S Limestone Rm K401, Lexington, KY 40536-0001 | 2012-06-07 |
| 1396057527 | Jarrod Russell Smith | Orthopaedic Surgery | 1000 Ashland Dr Ste 105, Ashland, KY 41101-7092 | 2010-07-02 |
| 1578797395 | Jerrod J Felder | Orthopaedic Surgery | 740 S. Limestone Street, K401 Kentucky Clinic, Lexington, KY 40536-0284 | 2009-05-07 |
| 1992832679 | Advanced Orthopaedics and Sports Medicine of Ky Pllc | Orthopaedic Surgery | 789 Eastern Byp Ste 5, Richmond, KY 40475-2407 | 2007-02-28 |
| 1467590190 | Ryan Jeffrey Krupp | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2007-02-02 |
| 1437798261 | Jorge Jackson | Orthopaedic Surgery | 2831 New Hartford Rd, Owensboro, KY 42303 | 2019-12-26 |
| 1558916601 | Kayla Hanson | Orthopaedic Surgery | 101 Windsor Path, Georgetown, KY 40324-9617 | 2019-08-06 |
| 1770932980 | Smith Orthopedics & Sports Medicine, Psc | Orthopaedic Surgery | 1000 Ashland Dr, Ste. 105, Ashland, KY 41101-7084 | 2016-06-08 |
| 1245593946 | Orthocincy | Orthopaedic Surgery | 1955 Dixie Hwy, Suite K, Ft Wright, KY 41011-2792 | 2012-06-19 |
| 1760779466 | Spring View Physician Practices, LLC | Orthopaedic Surgery | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2011-07-01 |
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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.