Provider Demographics
NPI:1215992458
Name:FIRST SETTLEMENT ORTHOPAEDICS INC
Entity type:Organization
Organization Name:FIRST SETTLEMENT ORTHOPAEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:B
Authorized Official - Last Name:KRIVCHENIA
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:740-373-8756
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0270
Mailing Address - Country:US
Mailing Address - Phone:740-373-8756
Mailing Address - Fax:740-373-0091
Practice Address - Street 1:611 SECOND ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750
Practice Address - Country:US
Practice Address - Phone:740-373-8756
Practice Address - Fax:740-373-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CC0077OtherRR MEDICARE
WV0208352000Medicaid
WVCC8938OtherRR MEDICARE
OH2610713Medicaid
OH2610713Medicaid
WVCC8938OtherRR MEDICARE
CC0077OtherRR MEDICARE
FI9285856Medicare ID - Type UnspecifiedNEW MARTINSVILLE
FI9285851Medicare ID - Type UnspecifiedMARIETTA
WV0208352000Medicaid