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GAITWELL ORTHOTICS AND PEDORTHICS NPI 1477523587


NPI Information

NPI: 1477523587
Provider Name: GAITWELL ORTHOTICS AND PEDORTHICS
Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
200 WASHINGTON JACKSON RD
STE V
EATON, OH
ZIP 45320
Phone: (937) 456-4800
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GAITWELL ORTHOTICS AND PEDORTHICS is an orthotist in Eaton, OH. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. GAITWELL ORTHOTICS AND PEDORTHICS NPI is 1477523587. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

200 WASHINGTON JACKSON RD
STE V
EATON, OH
ZIP 45320-627
Phone: (937) 456-4800
Fax: (513) 889-1850

The provider's authorized official is Michael D Veder .
The authorized official title is Owner and has the following contact phone number (937) 456-4800.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 6/19/2020.


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
1222Z00000XOrthotistLO144OHIOYes

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
1200509680AMEDICAIDINDIANA
20OTHEROHIOHEALTHSMART NETWORK
3A 146591OTHEROHIOMULTI PLAN
40OTHEROHIOSTRATOSE
5000000298877OTHEROHIOANTHEM BLUE CROSS
62389384MEDICAIDOHIO
7=========OTHEROHIOHUMANA
8=========OTHEROHIOPPOM
9=========OTHEROHIOMMO
10=========OTHEROHIOCARESOURCE
11=========OTHEROHIOOH BWC
12=========OTHEROHIOHEALTHSPAN
132389384OTHEROHIOBCMH MEDICAID
14=========OTHEROHIOTRICARE

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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