Provider Demographics
NPI:1508228123
Name:JOINT IMPLANT SURGEONS, INC
Entity Type:Organization
Organization Name:JOINT IMPLANT SURGEONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADOLPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:614-221-6331
Mailing Address - Street 1:7277 SMITHS MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8195
Mailing Address - Country:US
Mailing Address - Phone:614-221-6331
Mailing Address - Fax:614-221-9042
Practice Address - Street 1:20 UNIVERSITY ESTATES BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2838
Practice Address - Country:US
Practice Address - Phone:740-566-4640
Practice Address - Fax:740-566-4641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0329522Medicaid