NEWARK ORTHOPAEDICS,INC. (NPI# 1932389335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932389335 |
| Entity Type | Organization |
| Organization Name | NEWARK ORTHOPAEDICS,INC. |
| Practice Address |
1272 W Main St Building 2 Newark OH 43055-2004 |
| Practice Telephone | 7403441229 |
| Practice Fax Number | 7403441409 |
| Mailing Telephone | 7403441229 |
| Mailing Fax Number | 7403441409 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MR. MARK A. HOLT (PRESIDENT/OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7403441229 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0929777 | 05 |
| Street Address |
1272 W MAIN ST BUILDING 2 |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218068 | Carl Waggoner | Family Medicine | 1272 W Main St, Bldg. 5, Newark, OH 43055-2034 | 2005-07-13 |
| 1073822938 | Licking Memorial Professional Corp | Internal Medicine | 1272 W Main St, Bldg 2 Ste 3, Newark, OH 43055-2004 | 2010-09-27 |
| 1134430887 | Read's Pharmacy LLC | Pharmacy | 1272 W Main St, Newark, OH 43055-2004 | 2010-06-28 |
| 1396905584 | Christopher Matthew Forbush | Family Medicine | 1272 W Main St, Suite 503, Newark, OH 43055 | 2008-06-11 |
| 1831381706 | Licking Memorial Professional Corporation | Surgery | 1272 W Main St, Bldg. 2, Newark, OH 43055-2004 | 2007-08-15 |
| 1871654681 | Paul Norman Montalto | Family Medicine | 1272 W Main St, Suite 2, Newark, OH 43055-2004 | 2006-12-13 |
| 1063580199 | Catherine Chiodo | Podiatrist | 1272 W Main St, Building #4, Newark, OH 43055-2004 | 2006-11-30 |
| 1063518926 | Michael Bradshaw Vitt | Dentist | 1272 W Main St, Bldg 3, Newark, OH 43055-2004 | 2006-09-16 |
| 1336169770 | Licking Memorial Professional Corporation | Family Medicine | 1272 W Main St, Bldg. 1, Newark, OH 43055-2004 | 2006-07-20 |
| 1366461386 | Licking Memorial Professional Corp. | Surgery | 1272 W Main St, Bldg. 3, Newark, OH 43055-2004 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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| 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 |
|---|---|---|---|---|
| 1437415262 | Craig Smucker Md Orthopaedics PC | Orthopaedic Surgery | 1101 Oakland Ct, Newark, DE 19711-3450 | 2012-04-05 |
| 1508019399 | Rochester General Hospital | Orthopaedic Surgery | 1204 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1477727014 | Jerry Lee Case | Orthopaedic Surgery | 430 Christiana Medical Ctr, Newark, DE 19702-1654 | 2008-04-15 |
| 1235203258 | First State Orthopaedics Pa | Orthopaedic Surgery | 4745 Ogletown-stanton Rd, Suite 238, Newark, DE 19713 | 2006-11-20 |
| 1558379412 | Main Surgical Co | Orthopaedic Surgery | 84 Broadway, Newark, NJ 07104 | 2006-08-04 |
| 1245244102 | Alan M Larimer | Orthopaedic Surgery | 560 Queens Dr S, Newark, OH 43055-2214 | 2006-07-28 |
| 1346218997 | George Dean Macewen | Orthopaedic Surgery | 15 Omega Dr, Building K, Newark, DE 19713-2057 | 2006-03-09 |
| 1679553580 | David T Sowa | Orthopaedic Surgery | 4051 Ogletown Rd Ste 103, Newark, DE 19713 | 2006-01-18 |
| 1376537746 | Dai Ok Moon | Orthopaedic Surgery | C-83 Omega Drive, Newark, DE 19713 | 2005-08-31 |
| 1457356586 | Christopher D Casscells | Orthopaedic Surgery | 2600 Glasgow Ave., Suite 104, Newark, DE 19702-5703 | 2005-06-16 |
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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.