Provider Demographics
NPI:1104399138
Name:AMERICAN ORTHOPEDICS INC
Entity Type:Organization
Organization Name:AMERICAN ORTHOPEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASRER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO/LPO
Authorized Official - Phone:614-291-6454
Mailing Address - Street 1:1151 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2529
Mailing Address - Country:US
Mailing Address - Phone:614-291-6454
Mailing Address - Fax:614-291-2874
Practice Address - Street 1:1459 MARION WALDO RD STE 230
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-7421
Practice Address - Country:US
Practice Address - Phone:740-375-9100
Practice Address - Fax:614-291-6454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier