Provider Demographics
NPI:1013341056
Name:INTEGRITY ORTHOPAEDICS SPORTS MEDICINE AND REHABILITATION PLLC
Entity Type:Organization
Organization Name:INTEGRITY ORTHOPAEDICS SPORTS MEDICINE AND REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANUP
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHATTHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-497-4144
Mailing Address - Street 1:624 MAYSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9767
Mailing Address - Country:US
Mailing Address - Phone:859-497-4144
Mailing Address - Fax:859-498-4137
Practice Address - Street 1:1745 ALYSHEBA WAY
Practice Address - Street 2:STE 140
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-9013
Practice Address - Country:US
Practice Address - Phone:859-264-0277
Practice Address - Fax:859-264-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8081Medicare PIN