Provider Demographics
NPI:1659420842
Name:VARUS ORTHOPAEDICS, PLLC
Entity Type:Organization
Organization Name:VARUS ORTHOPAEDICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HALPENNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-324-3295
Mailing Address - Street 1:20 ELM ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-1933
Mailing Address - Country:US
Mailing Address - Phone:607-324-3295
Mailing Address - Fax:607-324-7298
Practice Address - Street 1:20 ELM ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1933
Practice Address - Country:US
Practice Address - Phone:607-324-3295
Practice Address - Fax:607-324-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0109Medicare PIN