Provider Demographics
NPI:1346392495
Name:ORTHOPAEDIC ASSOCIATES LLP
Entity Type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:V
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-786-3380
Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:SUITE 912
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-8410
Mailing Address - Country:US
Mailing Address - Phone:775-786-3380
Mailing Address - Fax:775-786-9357
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:SUITE 912
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-8410
Practice Address - Country:US
Practice Address - Phone:775-786-3380
Practice Address - Fax:775-786-9357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7415207X00000X
NV11452207X00000X
NV6404207XX0801X
225100000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506392Medicaid
NVV33185Medicare PIN
NV4582860001Medicare NSC