Basic Information
| Provider Information | |||||||||
| NPI: | 1912076423 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTER FOR ORTHOPAEDIC SERVICES, PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 444 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MADISONVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424312871 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708246655 | ||||||||
| FaxNumber: | 2708246629 | ||||||||
| Practice Location | |||||||||
| Address1: | 444 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MADISONVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424312871 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708246655 | ||||||||
| FaxNumber: | 2708246629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DONLEY | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2708246655 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.