Provider Demographics
NPI:1235175282
Name:ASSOCIATES IN ORTHOPAEDICS, INC.
Entity Type:Organization
Organization Name:ASSOCIATES IN ORTHOPAEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:AUDLEY
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:MACKEL
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:216-691-9000
Mailing Address - Street 1:5 SEVERANCE CIR
Mailing Address - Street 2:SUITE 609
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1566
Mailing Address - Country:US
Mailing Address - Phone:216-691-9000
Mailing Address - Fax:216-691-9207
Practice Address - Street 1:5 SEVERANCE CIR
Practice Address - Street 2:SUITE 609
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1566
Practice Address - Country:US
Practice Address - Phone:216-691-9000
Practice Address - Fax:216-691-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056726207X00000X
OH35047332207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Not Answered207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0483801Medicaid
OH0703877Medicaid
OH0703877Medicaid
A17476Medicare UPIN
0509841Medicare ID - Type Unspecified
OH0483801Medicaid