Provider Demographics
NPI:1467454504
Name:APPALACHIAN ORTHOPEDIC CENTER, LTD
Entity Type:Organization
Organization Name:APPALACHIAN ORTHOPEDIC CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HELY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-249-6112
Mailing Address - Street 1:1 DUNWOODY DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9565
Mailing Address - Country:US
Mailing Address - Phone:717-249-6112
Mailing Address - Fax:717-249-6235
Practice Address - Street 1:1 DUNWOODY DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9565
Practice Address - Country:US
Practice Address - Phone:717-249-6112
Practice Address - Fax:717-249-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027018E174400000X
PAMD012191E174400000X
PAMD419117174400000X
PAMD425826174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009082310001Medicaid
PA0018918900001Medicaid
PA0006107250002Medicaid
PA1012090400001Medicaid
PA103797M5RMedicare ID - Type UnspecifiedTHOMAS J GREEN, M.D.
PA6174250001Medicare NSC
PAH03909Medicare UPIN
PA056805M5RMedicare ID - Type UnspecifiedMICHAEL J OPLINGER, M.D.
PA104840M5RMedicare ID - Type UnspecifiedDANIEL P HELY, M.D.
PA0009082310001Medicaid
PAH74100Medicare UPIN
PA0018918900001Medicaid
PA1012090400001Medicaid