Provider Demographics
NPI:1447346572
Name:LEXINGTON ORTHOPEDIC ASSOCIATES, INC
Entity type:Organization
Organization Name:LEXINGTON ORTHOPEDIC ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DENIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYSAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-889-3408
Mailing Address - Street 1:620 HOWARD AVE # OP-3
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4804
Mailing Address - Country:US
Mailing Address - Phone:814-889-3408
Mailing Address - Fax:814-889-3409
Practice Address - Street 1:620 HOWARD AVE # OP-3
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-3408
Practice Address - Fax:814-889-3409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0541648OtherGATEWAY
PA1011485440001Medicaid
OH=========-00OtherOHIO WORKERS COMP
PA084618Medicare ID - Type Unspecified