Provider Demographics
NPI:1255521712
Name:ADVANCED ORTHOPEDIC SERVICES, INC.
Entity type:Organization
Organization Name:ADVANCED ORTHOPEDIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERDVILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JANULAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:508-771-5050
Mailing Address - Street 1:680 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2318
Mailing Address - Country:US
Mailing Address - Phone:508-771-5050
Mailing Address - Fax:508-771-1563
Practice Address - Street 1:417 PALMER AVE
Practice Address - Street 2:SUITE 10A
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2957
Practice Address - Country:US
Practice Address - Phone:508-548-3748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0204150002Medicare NSC