Provider Demographics
NPI:1457471039
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 RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-8398
Mailing Address - Country:US
Mailing Address - Phone:513-618-9011
Mailing Address - Fax:513-588-2479
Practice Address - Street 1:5151 MORNING SUN RD
Practice Address - Street 2:SUITE A
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9545
Practice Address - Country:US
Practice Address - Phone:513-524-1018
Practice Address - Fax:513-524-8686
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPAEDIC CONSULTANTS OF CINCINNATI INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-29
Last Update Date:2012-03-27
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
OHCB4566OtherMEDICARE RAILROAD
OH0494719Medicaid
OH2782083Medicaid
OH0225920014Medicare NSC
OHCB4566OtherMEDICARE RAILROAD