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ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC

Foot and Ankle Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

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Contact Information

ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC
365 S PARK RIDGE RD
SUITE 102
BLOOMINGTON, IN  47401-8361
 Phone: 812-822-2675
 Fax: 812-822-2679
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

 207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC

NPI # 1417287970
LBN Legal business name ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC
Authorized official DOUGLAS FLORY - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2010
Last updated 01/06/2010 - About 16 years ago
Identifiers
IN License # 1052068
IN Medicaid 200272920
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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