Provider Demographics
NPI:1487663969
Name:ORTHOPEDIC SURGERY SPECIALISTS LTD
Entity Type:Organization
Organization Name:ORTHOPEDIC SURGERY SPECIALISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-226-9741
Mailing Address - Street 1:PO BOX 1474
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57402-1474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 8TH AVE NW STE A
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-1865
Practice Address - Country:US
Practice Address - Phone:605-226-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD436502Medicare Oscar/Certification
SD1108470001Medicare NSC
SD4479Medicare PIN
MNC04385Medicare PIN
ND71086Medicare PIN