Joint Reconstructive Specialist in Oklahoma City - Orthopaedic Surgery

Joint Reconstructive Specialist - NPI 1629187596

Joint Reconstructive Specialist is a Orthopaedic Surgery in Oklahoma City, Oklahoma. Joint Reconstructive Specialist practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Joint Reconstructive Specialist is 1629187596. The last update date is 2013-02-05.

Joint Reconstructive Specialist's current location address is 3110 Sw 89th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056805633 and fax number 4057356435. The mailing address for Joint Reconstructive Specialist is 3110 Sw 89th St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Joint Reconstructive Specialist
Address 3110 Sw 89th St, Oklahoma City, Oklahoma
Phone Number 4056805633
Fax Number 4057356435
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Maitino D Paul
Credentials DO.
Telephone Number 4056805633

NPI Number Detail

NPI Number 1629187596
Provider Enumeration Date 2006-08-30
Last Updated Date 2013-02-05

Provider Mailing Address Detail

Address 3110 Sw 89th St
City Oklahoma City
State Oklahoma (OK)
Post Code 731597920
Phone Number 4056805633
Fax Number 4057356435

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 3588
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
200075360A OK --
200038126 OK MEDICARE RAILROAD

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FAQs about Joint Reconstructive Specialist

What is the unique identifier code issued to Joint Reconstructive Specialist by the Centers for Medicare & Medicaid Services?

The Joint Reconstructive Specialist has been assigned the NPI (National Provider Identifier) 1629187596. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Joint Reconstructive Specialist located?

The Joint Reconstructive Specialist is located at 3110 Sw 89Th St, Oklahoma City, OK 731597920.

What is Joint Reconstructive Specialist's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Joint Reconstructive Specialist is Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207X00000X.

On what date did Joint Reconstructive Specialist receive its 1629187596 assignment from the Centers for Medicare & Medicaid Services?

The Joint Reconstructive Specialist was assigned its 1629187596 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Joint Reconstructive Specialist, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joint Reconstructive Specialist, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-05.

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