Provider Demographics
NPI:1568474310
Name:PARKERSBURG ORTHOPEDIC ASSOCIATES, INC
Entity Type:Organization
Organization Name:PARKERSBURG ORTHOPEDIC ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-485-8040
Mailing Address - Street 1:1600 MURDOCH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3248
Mailing Address - Country:US
Mailing Address - Phone:304-485-8040
Mailing Address - Fax:304-485-4883
Practice Address - Street 1:1600 MURDOCH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3248
Practice Address - Country:US
Practice Address - Phone:304-485-8040
Practice Address - Fax:304-485-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810007780Medicaid
P40682Medicare UPIN
WVPA9337371Medicare PIN
WVH95678Medicare UPIN
P33157Medicare UPIN
OHPA9337372Medicare PIN
WVG71692Medicare UPIN
5797740001Medicare NSC