Provider Demographics
NPI:1457360331
Name:NORTHVIEW ORTHOPAEDIC
Entity Type:Organization
Organization Name:NORTHVIEW ORTHOPAEDIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-864-7904
Mailing Address - Street 1:70 ANSLEY DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1613
Mailing Address - Country:US
Mailing Address - Phone:706-864-7904
Mailing Address - Fax:706-894-0432
Practice Address - Street 1:70 ANSLEY DR
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1613
Practice Address - Country:US
Practice Address - Phone:706-864-7904
Practice Address - Fax:706-894-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0982750001Medicare NSC