Provider Demographics
NPI:1366437378
Name:HAMILTON ORTHOPAEDIC ASSOCIATES INC
Entity type:Organization
Organization Name:HAMILTON ORTHOPAEDIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ZANCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-856-9888
Mailing Address - Street 1:50 RIVERFRONT PLZ
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2718
Mailing Address - Country:US
Mailing Address - Phone:513-856-9888
Mailing Address - Fax:513-856-9890
Practice Address - Street 1:50 RIVERFRONT PLZ
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2718
Practice Address - Country:US
Practice Address - Phone:513-856-9888
Practice Address - Fax:513-856-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046143207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0652708Medicaid
A80360Medicare UPIN
OH0652708Medicaid