Provider Demographics
NPI:1568412245
Name:AMERICAN ORTHOPEDICS INC
Entity Type:Organization
Organization Name:AMERICAN ORTHOPEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:NITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPO
Authorized Official - Phone:614-291-6454
Mailing Address - Street 1:1151 W. 5TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2529
Mailing Address - Country:US
Mailing Address - Phone:614-291-6454
Mailing Address - Fax:614-291-2874
Practice Address - Street 1:1151 W. 5TH AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-2529
Practice Address - Country:US
Practice Address - Phone:614-291-6454
Practice Address - Fax:614-291-2874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0124289Medicaid
OH0200570001Medicare NSC