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ALBUQUERQUE ORTHOTICS & PROSTHETICS NPI 1528276318


NPI Information

NPI: 1528276318
Provider Name: ALBUQUERQUE ORTHOTICS & PROSTHETICS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4909 ELLISON ST NE
SUITE A
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 342-0333
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ALBUQUERQUE ORTHOTICS & PROSTHETICS is a prosthetic orthotic supplier in Albuquerque, NM. 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. ALBUQUERQUE ORTHOTICS & PROSTHETICS NPI is 1528276318. The provider is registered as an organization entity type.

The provider's business location address is:

4909 ELLISON ST NE
SUITE A
ALBUQUERQUE, NM
ZIP 87109-331
Phone: (505) 342-0333
Fax: (505) 342-0336

The provider's authorized official is Lisa M Urso .
The authorized official title is Owner/prosthetist Orthotist and has the following contact phone number (505) 342-0333.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 4/20/2008.


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 SupplierFA0048723NEW MEXICOYes

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
1NMOOTA31OTHERNEW MEXICOBLUECROSS BLUESHIELD NM
2=========OTHERARIZONASOUTHWEST SERVICE ADM-ALB
3=========OTHERNEBRASKAMUTUAL OF OMAHA
4=========OTHERNEW MEXICOSMWIA LOCAL 49
5=========OTHERNEW MEXICOCCMSI OF NM
6=========OTHERNEW MEXICOAETNA PROVIDER NUMBER
7=========OTHERNEW MEXICOLOVELACE HEALTH PLAN
8=========OTHERCONNECTICUTCIGNA HEALTHCARE
9=========OTHERNEW MEXICOHEALTHSOUTH REHAB
104940610001MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEARIZONA CIGNA MEDICARE
114940610001MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAPALMETTO GBA - NEW MEXICO
12957699MEDICAIDARIZONA
13=========OTHERKENTUCKYUNITED HEALTHCARE
14=========MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOLOVELACE SENIOR OPTIONS
15=========MEDICAIDNEW MEXICO
1633680825MEDICAIDNEW MEXICO

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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