1. Home
  2. Directory
  3. Kentucky
  4. Florence
  5. Orthopaedic Surgery
  6. NPI Profile
  7. NPI Record 1396156972

ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Complete NPI Record 1396156972
Orthopaedic Surgery in Florence, KY

NPI Status: Active since May 16, 2014

Contact Information

8726 US 42
FLORENCE, KY
ZIP 41042
Phone: (859) 301-2663
Fax: (859) 301-0655

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Provider License Number State Code 2
  31. Healthcare Provider Primary Taxonomy Switch 2
  32. Healthcare Provider Taxonomy Code 3
  33. Provider License Number State Code 3
  34. Healthcare Provider Primary Taxonomy Switch 3
  35. Healthcare Provider Taxonomy Code 4
  36. Provider License Number State Code 4
  37. Healthcare Provider Primary Taxonomy Switch 4
  38. Healthcare Provider Taxonomy Code 5
  39. Provider License Number State Code 5
  40. Healthcare Provider Primary Taxonomy Switch 5
  41. Healthcare Provider Taxonomy Code 6
  42. Provider License Number State Code 6
  43. Healthcare Provider Primary Taxonomy Switch 6
  44. Healthcare Provider Taxonomy Code 7
  45. Provider License Number State Code 7
  46. Healthcare Provider Primary Taxonomy Switch 7
  47. Healthcare Provider Taxonomy Code 8
  48. Provider License Number State Code 8
  49. Healthcare Provider Primary Taxonomy Switch 8
  50. Healthcare Provider Taxonomy Code 9
  51. Provider License Number State Code 9
  52. Healthcare Provider Primary Taxonomy Switch 9
  53. Healthcare Provider Taxonomy Code 10
  54. Provider License Number State Code 10
  55. Healthcare Provider Primary Taxonomy Switch 10
  56. Healthcare Provider Taxonomy Code 11
  57. Provider License Number State Code 11
  58. Healthcare Provider Primary Taxonomy Switch 11
  59. Other Provider Identifier 1
  60. Other Provider Identifier Type Code 1
  61. Other Provider Identifier State 1
  62. Other Provider Identifier Issuer 1
  63. Other Provider Identifier 2
  64. Other Provider Identifier Type Code 2
  65. Other Provider Identifier State 2
  66. Other Provider Identifier Issuer 2
  67. Other Provider Identifier 3
  68. Other Provider Identifier Type Code 3
  69. Other Provider Identifier State 3
  70. Other Provider Identifier Issuer 3
  71. Other Provider Identifier 4
  72. Other Provider Identifier Type Code 4
  73. Other Provider Identifier State 4
  74. Other Provider Identifier Issuer 4
  75. Other Provider Identifier 5
  76. Other Provider Identifier Type Code 5
  77. Other Provider Identifier State 5
  78. Other Provider Identifier 6
  79. Other Provider Identifier Type Code 6
  80. Other Provider Identifier State 6
  81. Other Provider Identifier Issuer 6
  82. Is Organization Subpart
  83. Authorized Official Credential Text
  84. Healthcare Provider Taxonomy Group 1
  85. Healthcare Provider Taxonomy Group 2
  86. Healthcare Provider Taxonomy Group 3
  87. Healthcare Provider Taxonomy Group 4
  88. Healthcare Provider Taxonomy Group 5
  89. Healthcare Provider Taxonomy Group 6
  90. Healthcare Provider Taxonomy Group 8
  91. Healthcare Provider Taxonomy Group 9
  92. Healthcare Provider Taxonomy Group 10
  93. Healthcare Provider Taxonomy Group 11
  94. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1396156972. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1396156972
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 560 S LOOP RD
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: EDGEWOOD
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: KY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 410173405
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8593012663
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8593010655
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 8726 US 42
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: FLORENCE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: KY
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 41042
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8593012663
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8593010655
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/16/2014
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 8/26/2022
The date that a record was last updated or changed.
Authorized Official Last Name: REIS
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: JOANN
The first name of the authorized official.
Authorized Official Middle Name: M
The middle name of the authorized official.
Authorized Official Title or Position: CEO/MANAGER
The title or position of the authorized official.
Authorized Official Telephone Number: 8598177070
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207QS0010X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1: KY
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207R00000X
Provider License Number State Code 2: KY
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207RM1200X
Provider License Number State Code 3: KY
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207XS0106X
Provider License Number State Code 4: KY
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 213E00000X
Provider License Number State Code 5: KY
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 225100000X
Provider License Number State Code 6: KY
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 332B00000X
Provider License Number State Code 7: KY
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 363AM0700X
Provider License Number State Code 8: KY
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 363L00000X
Provider License Number State Code 9: KY
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 363LF0000X
Provider License Number State Code 10: KY
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 207X00000X
Provider License Number State Code 11: KY
Healthcare Provider Primary Taxonomy Switch 11: Y
Other Provider Identifier 1: 9590071800
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: KY
Other Provider Identifier Issuer 1: MEDICAID PHYSICIAN ASSISTANT
Other Provider Identifier 2: 7100185740
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 2: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2: KY
Other Provider Identifier Issuer 2: MEDICAID NURSE PRACTITIONER
Other Provider Identifier 3: 7100147130
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 3: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3: KY
Other Provider Identifier Issuer 3: MEDICAID PHYSICAL THERAPIST
Other Provider Identifier 4: 90008962
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 4: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 4: KY
Other Provider Identifier Issuer 4: MEDICAID DME
Other Provider Identifier 5: 65927881 GROUP
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 5: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 5: KY
Other Provider Identifier 6: 80900186
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 6: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 6: KY
Other Provider Identifier Issuer 6: MEDICAID PODIATRIST
Is Organization Subpart: N
Authorized Official Credential Text: CEO
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 8/26/2022