Basic Information
Provider Information
NPI: 1982218913
EntityType: 2
ReplacementNPI:  
OrganizationName: ORTHOPEDIC SURGEONS LTD
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: ORTHOPEDIC INSTITUTE OF PENNSYLVANIA
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3399 TRINDLE RD
Address2:  
City: CAMP HILL
State: PA
PostalCode: 170114407
CountryCode: US
TelephoneNumber: 7177615530
FaxNumber: 7177377197
Practice Location
Address1: 75 EVELYN DR
Address2:  
City: MILLERSBURG
State: PA
PostalCode: 170611258
CountryCode: US
TelephoneNumber: 7177615530
FaxNumber: 7177377197
Other Information
ProviderEnumerationDate: 09/08/2020
LastUpdateDate: 12/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GINGRICH
AuthorizedOfficialFirstName: CATHY
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: DIRECTOR OF REVENUE CYCLE
AuthorizedOfficialTelephone: 7175792993
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363L00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
207X00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
00064923805PA MEDICAID


Home