Provider Demographics
NPI:1952570905
Name:PRECISION ORTHOPAEDIC SPECIALTIES, INC.
Entity Type:Organization
Organization Name:PRECISION ORTHOPAEDIC SPECIALTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SARKISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:440-285-4999
Mailing Address - Street 1:150 7TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-2908
Mailing Address - Country:US
Mailing Address - Phone:440-285-4999
Mailing Address - Fax:440-285-4996
Practice Address - Street 1:11800 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:AUBURN TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44023-9216
Practice Address - Country:US
Practice Address - Phone:440-285-4999
Practice Address - Fax:440-285-4996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004183K207QS0010X
OH34005355207X00000X
OH34007665207XS0106X
OH35052298207XS0117X
OH36002895207XX0004X
OH34008062207XX0005X
OH34006554208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0203550Medicaid