Ada Orthopedics & Sports Medicine, Pc in Ada - Orthopaedic Surgery

Ada Orthopedics & Sports Medicine, Pc - NPI 1427196773

Ada Orthopedics & Sports Medicine, Pc is a Orthopaedic Surgery in Ada, Oklahoma. Ada Orthopedics & Sports Medicine, Pc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Ada Orthopedics & Sports Medicine, Pc is 1427196773. The last update date is 2008-03-27.

Ada Orthopedics & Sports Medicine, Pc's current location address is 625 N Monte Vista St, Ada, Oklahoma. You can contact this provider via phone number 5803324443 and fax number 5803324846. The mailing address for Ada Orthopedics & Sports Medicine, Pc is 625 N Monte Vista St, Ada, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ada Orthopedics & Sports Medicine, Pc
Address 625 N Monte Vista St, Ada, Oklahoma
Phone Number 5803324443
Fax Number 5803324846
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SURGEON
Authorized Official Name Charboneau John Roger
Credentials D.O.
Telephone Number 5803324443

NPI Number Detail

NPI Number 1427196773
Provider Enumeration Date 2007-02-01
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 625 N Monte Vista St
City Ada
State Oklahoma (OK)
Post Code 748204613
Phone Number 5803324443
Fax Number 5803324846

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DD1743 OK RAILROAD MEDICARE

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FAQs about Ada Orthopedics & Sports Medicine, Pc

What is the unique identifier code issued to Ada Orthopedics & Sports Medicine, Pc by the Centers for Medicare & Medicaid Services?

The Ada Orthopedics & Sports Medicine, Pc has been assigned the NPI (National Provider Identifier) 1427196773. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ada Orthopedics & Sports Medicine, Pc is physically located?

The Ada Orthopedics & Sports Medicine, Pc is situated at the following address: 625 N Monte Vista St, Ada, OK 748204613.

What is Ada Orthopedics & Sports Medicine, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ada Orthopedics & Sports Medicine, Pc is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.

On what date did the Ada Orthopedics & Sports Medicine, Pc receive the assignment of its 1427196773 from the Centers for Medicare & Medicaid Services?

The Ada Orthopedics & Sports Medicine, Pc was issued its 1427196773 by the Centers for Medicare & Medicaid Services on 2007-02-01.

As of what date were the Ada Orthopedics & Sports Medicine, Pc's details last updated?

The information pertaining to the Ada Orthopedics & Sports Medicine, Pc, including its address, specialty, and other details, was most recently updated on 2008-03-27.

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