Basic Information
Provider Information
NPI: 1760619217
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORLOSKY
FirstName: AARON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 380 SUMMIT AVE
Address2: MSO PHYSICIAN BILLING
City: STEUBENVILLE
State: OH
PostalCode: 439522667
CountryCode: US
TelephoneNumber: 7402837597
FaxNumber: 7402837190
Practice Location
Address1: 3151 JOHNSON RD STE 2
Address2:  
City: STEUBENVILLE
State: OH
PostalCode: 439522362
CountryCode: US
TelephoneNumber: 7402663866
FaxNumber: 7402663865
Other Information
ProviderEnumerationDate: 06/11/2009
LastUpdateDate: 02/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOT013173PAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207XX0005XOS015364PAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207QS0010X34.011553OHY Allopathic & Osteopathic PhysiciansFamily MedicineSports Medicine

ID Information
IDTypeStateIssuerDescription
008811705OH MEDICAID
102693372000505PA MEDICAID


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