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ASCENDANT ORTHOPEDIC ALLIANCE LLC NPI 1629580758


NPI Information

NPI: 1629580758
Provider Name: ASCENDANT ORTHOPEDIC ALLIANCE, LLC

Doing Business As: SOUTH BEND ORTHOPAEDICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 15D0977972

Address:
53880 CARMICHAEL DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 247-9441
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ASCENDANT ORTHOPEDIC ALLIANCE, LLC is a prosthetic orthotic supplier in South Bend, IN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. ASCENDANT ORTHOPEDIC ALLIANCE, LLC NPI is 1629580758. The provider is registered as an organization entity type.
The provider Is Doing Business As South Bend Orthopaedics.

The provider's business location address is:

53880 CARMICHAEL DR
SOUTH BEND, IN
ZIP 46635-567
Phone: (574) 247-9441
Fax: (574) 247-9442

The provider's authorized official is Jacqueline A Kerwin .
The authorized official title is Cfo and has the following contact phone number (574) 206-8069.

The CLIA number assigned to this NPI record is 15D0977972 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/30/2017 and was last updated on 5/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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