Provider Type Icon

SHAMROCK PROSTHETICS INC. NPI 1427448158


NPI Information

NPI: 1427448158
Provider Name: SHAMROCK PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
825 KING AVE
ATHENS, GA
ZIP 30606
Phone: (706) 850-4544
Get Directions

SHAMROCK PROSTHETICS, INC. is a prosthetic orthotic supplier in Athens, GA. 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. SHAMROCK PROSTHETICS, INC. NPI is 1427448158. The provider is registered as an organization entity type.

The provider's business location address is:

825 KING AVE
ATHENS, GA
ZIP 30606-877
Phone: (706) 850-4544
Fax: (706) 655-6226

The provider's authorized official is Rebecca Bowen .
The authorized official title is Office Manager and has the following contact phone number (706) 521-9358.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/25/2021.


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
100316393AMEDICAIDGEORGIA

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.