Provider Demographics
NPI:1578649778
Name:ORTHO - MEDICS INC
Entity Type:Organization
Organization Name:ORTHO - MEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-322-8456
Mailing Address - Street 1:111 BUCK ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1552
Mailing Address - Country:US
Mailing Address - Phone:215-322-8456
Mailing Address - Fax:215-322-8459
Practice Address - Street 1:111 BUCK ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1552
Practice Address - Country:US
Practice Address - Phone:215-322-8456
Practice Address - Fax:215-322-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
117164700OtherUS DEPT OF LABOR
289113OtherPA BLUE SHIELD
0171840001Medicare ID - Type Unspecified