Provider Demographics
NPI:1508863952
Name:NEW CASTLE ORTHOPEDIC SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:NEW CASTLE ORTHOPEDIC SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-652-6637
Mailing Address - Street 1:2602 WILMINGTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1537
Mailing Address - Country:US
Mailing Address - Phone:724-652-6637
Mailing Address - Fax:724-652-4489
Practice Address - Street 1:2602 WILMINGTON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1537
Practice Address - Country:US
Practice Address - Phone:724-652-6637
Practice Address - Fax:724-652-4489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006950250002Medicaid
PA069404OtherMEDICARE PROVIDER NUMBER
PA0006950250002Medicaid