Provider Demographics
NPI:1669458378
Name:NORRISTOWN ORTHOPAEDIC ASSOCIATES INC
Entity Type:Organization
Organization Name:NORRISTOWN ORTHOPAEDIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KOVALSKY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:610-279-8686
Mailing Address - Street 1:1308 DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3404
Mailing Address - Country:US
Mailing Address - Phone:610-279-8686
Mailing Address - Fax:610-279-1588
Practice Address - Street 1:1308 DEKALB ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3404
Practice Address - Country:US
Practice Address - Phone:610-279-8686
Practice Address - Fax:610-279-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013613E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102547Medicare PIN
PA6151910001Medicare NSC