FIDELITY ORTHOPEDIC INC (NPI# 1851365472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851365472 |
| Entity Type | Organization |
| Organization Name | FIDELITY ORTHOPEDIC INC |
| Practice Address |
7677 Yankee St Suite 210 Centerville OH 45459-3475 |
| Mailing Address |
8514 N. Main St. Dayton OH 45415-1325 |
| Practice Telephone | 9374357041 |
| Practice Fax Number | 9372288193 |
| Mailing Telephone | 9372280682 |
| Mailing Fax Number | 9372288193 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | MR. MARK MURKA (DIRECTOR) |
| Authorized Official Telephone | 9372280682 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIDELITY ORTHOPEDIC INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2307417 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851764419 | Fidelity Orthopedic Inc | Prosthetic/Orthotic Supplier | 8514 N Main St, Dayton, OH 45415-1325 | 2015-11-04 |
| Street Address |
7677 YANKEE ST SUITE 210 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111352 | Tarah Barrios | Physical Therapist | 7677 Yankee St, Centerville, OH 45459-3475 | 2005-11-15 |
| 1023521085 | Kayla Michelle Fryman | Physician Assistant | 7677 Yankee St, Centerville, OH 45459-3475 | 2017-11-13 |
| 1083073472 | Kyle Lipscomb | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2016-02-15 |
| 1609272137 | Austin List | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2014-11-11 |
| 1902213630 | Alex Brummett | Specialist/Technologist | 7677 Yankee St, Centerville, OH 45459-3475 | 2014-07-15 |
| 1699107656 | Symone Mcelroy | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2013-08-01 |
| 1407114275 | Nikki Bennett | Specialist/Technologist | 7677 Yankee St, Centerville, OH 45459-3475 | 2012-04-30 |
| 1386965044 | Orthopedic Associates of S W Ohio, Inc | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2010-06-17 |
| 1164634689 | Matthew W Heckler | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2007-05-04 |
| 1801850334 | Mark S Klug | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851686588 | Walking Comfort LLC. | Prosthetic/Orthotic Supplier | 627 W. Marketplace Dr., Centerville, UT 84014-0000 | 2011-06-10 |
| 1366481756 | Orpro Inc | Prosthetic/Orthotic Supplier | 97 South Main Street, Centerville, OH 45458-2367 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277323 | Diamond Laced Medical Wigs | Prosthetic/Orthotic Supplier | 7373 Brookcrest Dr, Cincinnati, OH 45237-3446 | 2020-05-27 |
| 1689296022 | Glitterati Luxury Virgin Hair Bar | Prosthetic/Orthotic Supplier | 4786 Dressler Rd Nw # 128, Canton, OH 44718-2555 | 2020-05-07 |
| 1629601067 | Ann Marie Braydich | Prosthetic/Orthotic Supplier | 5527 Walnut Grove Cir, Struthers, OH 44471-3116 | 2020-02-13 |
| 1124661491 | John Keenan | Prosthetic/Orthotic Supplier | 11075 Westborough Rd, Parma Heights, OH 44130-3014 | 2019-10-19 |
| 1255985404 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 17900 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-3437 | 2019-07-26 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1851864953 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 500 E Main St Ste 250, Columbus, OH 43215-5369 | 2019-01-10 |
| 1104399138 | American Orthopedics Inc | Prosthetic/Orthotic Supplier | 1459 Marion Waldo Rd Ste 230, Marion, OH 43302-7421 | 2019-01-02 |
| 1851867212 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 574 N State St Ste B, Westerville, OH 43082-6058 | 2018-10-23 |
| 1194291633 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 1210 Gemini Pl Ste 320, Columbus, OH 43240-6109 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.