Oa Associated LLC

Orthopaedic Surgery Physician · Shiloh, IL

Organization Active NPI

NPI number 1639692973

Practice location

1414 Cross St Ste 110
Shiloh, IL 62269-2988
Phone
(618) 234-9884
Fax
(618) 235-9020

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NPI record

NPI
1639692973
Entity type
Organization (Type 2)
Enumeration date
July 19, 2017
Last updated
July 19, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopaedic Surgery Physician Primary 207X00000X — —
Orthopaedic Hand Surgery Physician 207XS0106X — —

Mailing address

4500 Memorial Dr
Belleville, IL 62226-5360
Phone
(618) 257-4644
Fax
(618) 257-6946

Authorized official

Name
James B Davis
Title
Executive Director
Phone
(618) 257-4644

About Oa Associated LLC

Oa Associated LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 1414 Cross St Ste 110, Shiloh, IL 62269-2988. The NPI number 1639692973 was assigned on July 19, 2017 and the record was last updated on July 19, 2017.

The authorized official for this organization is James B Davis, Executive Director.

Frequently asked questions

What is the NPI number of Oa Associated LLC?

The NPI number is 1639692973.

What is the phone number of Oa Associated LLC?

The phone number listed for the practice location is (618) 234-9884.

Where is Oa Associated LLC located?

1414 Cross St Ste 110, Shiloh, IL 62269-2988.

What is the taxonomy code for Oa Associated LLC?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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