Provider Demographics
NPI:1457454555
Name:ORTHOPEDIC SURGERY INSTITUTE INC
Entity Type:Organization
Organization Name:ORTHOPEDIC SURGERY INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NACHTIGALL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-846-7846
Mailing Address - Street 1:1779 FIFTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-846-7846
Mailing Address - Fax:717-852-0022
Practice Address - Street 1:1779 FIFTH AVENUE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-846-7846
Practice Address - Fax:717-852-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05003640L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0337630001Medicare NSC