Provider Demographics
NPI:1457449639
Name:NORTH HILL ORTHOPAEDIC SURGERY, INC.
Entity Type:Organization
Organization Name:NORTH HILL ORTHOPAEDIC SURGERY, INC.
Other - Org Name:
Other - Org Type:
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:330-929-2694
Mailing Address - Street 1:1 PARK CENTER DR STE 304
Mailing Address - Street 2:ONE PARK CENTRE DRIVE
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9452
Mailing Address - Country:US
Mailing Address - Phone:330-334-5265
Mailing Address - Fax:330-334-5006
Practice Address - Street 1:1 PARK CENTER DR STE 304
Practice Address - Street 2:ONE PARK CENTRE DRIVE
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9452
Practice Address - Country:US
Practice Address - Phone:330-334-5265
Practice Address - Fax:330-334-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
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
OH2205992Medicaid
OH=========02OtherBWC WADS LOCATION
OH=========001OtherTRICARE WADS LOCATION
OH2205992Medicaid