Provider Type Icon

MEDSOURCE ORTHOTICS & PROSTHETICS INC NPI 1245724822


NPI Information

NPI: 1245724822
Provider Name: MEDSOURCE ORTHOTICS & PROSTHETICS, INC

Doing Business As: HAMILTON PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1450 S DOBSON RD STE B326
MESA, AZ
ZIP 85202
Phone: (602) 395-3354
Get Directions

MEDSOURCE ORTHOTICS & PROSTHETICS, INC is a prosthetic orthotic supplier in Mesa, AZ. 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. MEDSOURCE ORTHOTICS & PROSTHETICS, INC NPI is 1245724822. The provider is registered as an organization entity type.
The provider Is Doing Business As Hamilton Prosthetics.

The provider's business location address is:

1450 S DOBSON RD STE B326
MESA, AZ
ZIP 85202
Phone: (602) 395-3354
Fax: (888) 828-8290

The provider's authorized official is David Charles .
The authorized official title is President and has the following contact phone number (801) 255-5202.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 9/14/2018.


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 Supplier21067439ARIZONAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.