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ADVANCED ORTHOTICS AND PROSTHETICS NPI 1386646537


NPI Information

NPI: 1386646537
Provider Name: ADVANCED ORTHOTICS AND PROSTHETICS

Other Name: ADVANCED O & P

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2530 S MAIDEN LN
JOPLIN, MO
ZIP 64804
Phone: (417) 627-0999
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ADVANCED ORTHOTICS AND PROSTHETICS is a prosthetic orthotic supplier in Joplin, MO. 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 ORTHOTICS AND PROSTHETICS NPI is 1386646537. The provider is registered as an organization entity type.
The provider Other Name Is Advanced O & P.

The provider's business location address is:

2530 S MAIDEN LN
JOPLIN, MO
ZIP 64804-349
Phone: (417) 627-0999
Fax: (417) 627-0938

The provider's authorized official is Frank W Ikerd .
The authorized official title is Owner Practitioner and has the following contact phone number (417) 627-0999.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 5/13/2014.


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

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
14188360001MEDICARE ID-TYPE UNSPECIFIEDMISSOURIALL REGIONS
2625367305MEDICAIDMISSOURI

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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