Provider Demographics
NPI:1013903038
Name:ORTHOPEDIC CONSULTANTS, LTD.
Entity Type:Organization
Organization Name:ORTHOPEDIC CONSULTANTS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-291-1881
Mailing Address - Street 1:703 LAMPETER RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-4013
Mailing Address - Country:US
Mailing Address - Phone:717-291-1881
Mailing Address - Fax:717-293-9181
Practice Address - Street 1:703 LAMPETER RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-4013
Practice Address - Country:US
Practice Address - Phone:717-291-1881
Practice Address - Fax:717-293-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA44585OtherPA BLUE SHIELD
PACC2948OtherMEDICARE RAILROAD
PACC2948OtherMEDICARE RAILROAD
PA0777610001Medicare NSC