Provider Demographics
NPI:1477745438
Name:SCIOTO VALLEY ORTHOPAEDICS, INC.
Entity Type:Organization
Organization Name:SCIOTO VALLEY ORTHOPAEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MARCHYN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-353-1709
Mailing Address - Street 1:1735 27TH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2677
Mailing Address - Country:US
Mailing Address - Phone:740-353-1709
Mailing Address - Fax:740-353-3027
Practice Address - Street 1:1735 27TH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2677
Practice Address - Country:US
Practice Address - Phone:740-353-1709
Practice Address - Fax:740-353-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH48826261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0651800001Medicare NSC
OH9255281Medicare PIN