Provider Demographics
NPI:1003963513
Name:ADVANCED ORTHOPEDIC SERVICES, INC.
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERDVILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JANULAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:508-771-5050
Mailing Address - Street 1:680 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2318
Mailing Address - Country:US
Mailing Address - Phone:508-771-5050
Mailing Address - Fax:508-771-1563
Practice Address - Street 1:680 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2318
Practice Address - Country:US
Practice Address - Phone:508-771-5050
Practice Address - Fax:508-771-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000034435OtherBMC HEALTHNET NORWOOD
MA801021OtherTUFTS PROVIDER NUMBER
MA700357OtherHPHC PROVIDER NUMBER
MA247054OtherBLUE CROSS PROVIDER NUMB
MA1530135Medicaid
MAS010100OtherCHAMPUS PROVIDER NUMBER
MA000000024332OtherBMC HEALTHNET HYANNIS
MA000000034434OtherBMC HEALTHNET FALM
MA000000034435OtherBMC HEALTHNET NORWOOD
MA000000034434OtherBMC HEALTHNET FALM
MA0204150002Medicare ID - Type UnspecifiedPROVIDER FALMOUTH