Provider Demographics
NPI:1811591936
Name:ORTHOLIVE, INC.
Entity type:Organization
Organization Name:ORTHOLIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GREIWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:668-456-7846
Mailing Address - Street 1:1311 VINE ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-7118
Mailing Address - Country:US
Mailing Address - Phone:866-456-7846
Mailing Address - Fax:513-306-4006
Practice Address - Street 1:3287 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3321
Practice Address - Country:US
Practice Address - Phone:513-479-9102
Practice Address - Fax:513-306-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty