Provider Demographics
NPI:1073696332
Name:NORTH HILL ORTHOPAEDIC SURGERY, INC.
Entity Type:Organization
Organization Name:NORTH HILL ORTHOPAEDIC SURGERY, INC.
Other - Org Name:NORTH STAR ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:THARP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-929-2695
Mailing Address - Street 1:999 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1456
Mailing Address - Country:US
Mailing Address - Phone:330-929-2694
Mailing Address - Fax:330-929-2782
Practice Address - Street 1:6847 N CHESTNUT ST
Practice Address - Street 2:SUITE 225
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3929
Practice Address - Country:US
Practice Address - Phone:330-929-2694
Practice Address - Fax:330-929-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007558207XS0114X
OH34005397207XS0117X
OH350554552081P2900X
OH36003261213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
Not Answered207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
Not Answered2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Not Answered213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2414542Medicaid
OH=========003OtherTRICARE RAVENNA LOCATION
OH=========03OtherBWC RAVENNA LOCATION
OH2414542Medicaid