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ADVANCED ANATOMICAL DESIGN LLC NPI 1073615431


NPI Information

NPI: 1073615431
Provider Name: ADVANCED ANATOMICAL DESIGN LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
300 S STATE ST
GIRARD, OH
ZIP 44420
Phone: (330) 288-0027
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ADVANCED ANATOMICAL DESIGN LLC is a prosthetic orthotic supplier in Girard, OH. 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. ADVANCED ANATOMICAL DESIGN LLC NPI is 1073615431. The provider is registered as an organization entity type.

The provider's business location address is:

300 S STATE ST
GIRARD, OH
ZIP 44420-951
Phone: (330) 288-0027
Fax: (330) 288-0095

The provider's authorized official is Sean N Kratzer .
The authorized official title is Co President and has the following contact phone number (330) 288-0027.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/22/2020.


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 SupplierLO0209OHIONo
2335E00000XProsthetic/Orthotic SupplierLPED0061OHIONo
3335E00000XProsthetic/Orthotic SupplierLP0122OHIONo
4335E00000XProsthetic/Orthotic SupplierLO0208OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12570918MEDICAIDOHIO
2000000230289OTHEROHIOANTHEM

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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