Provider Demographics
NPI:1982619367
Name:ORTHOCARE AMERICA INC.
Entity Type:Organization
Organization Name:ORTHOCARE AMERICA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANGELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-562-2455
Mailing Address - Street 1:199 S CHILLICOTHE RD
Mailing Address - Street 2:SUITE# 210
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8830
Mailing Address - Country:US
Mailing Address - Phone:330-562-2455
Mailing Address - Fax:330-562-2514
Practice Address - Street 1:199 S CHILLICOTHE RD
Practice Address - Street 2:SUITE# 210
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8830
Practice Address - Country:US
Practice Address - Phone:330-562-2455
Practice Address - Fax:330-562-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL 11052332B00000X
OHLPO 108335E00000X
OHLPED 147335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2478957Medicaid
OH2478957Medicaid