Provider Demographics
NPI:1235231374
Name:ORTHOPAEDIC CONSULTANTS OF CINCINNATI INC
Entity Type:Organization
Organization Name:ORTHOPAEDIC CONSULTANTS OF CINCINNATI INC
Other - Org Name:WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:PLETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-618-9011
Mailing Address - Street 1:4701 CREEK ROAD
Mailing Address - Street 2:STE 110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242
Mailing Address - Country:US
Mailing Address - Phone:513-618-9011
Mailing Address - Fax:513-588-2479
Practice Address - Street 1:7575 5 MILE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4346
Practice Address - Country:US
Practice Address - Phone:513-232-6677
Practice Address - Fax:513-232-2522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPAEDIC CONSULTANTS OF CINCINNATI INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-01
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2826393Medicaid
OH0494719Medicaid
OHCB4566OtherMEDICARE RAILROAD
OHOR9913784Medicare PIN
OHCB4566OtherMEDICARE RAILROAD