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NORTH CAROLINA ORTHOTICS & PROSTHETICS OF GOLDSBORO NPI 1689804106


NPI Information

NPI: 1689804106
Provider Name: NORTH CAROLINA ORTHOTICS & PROSTHETICS OF GOLDSBORO
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 34D2260855

Address:
1306 WAYNE MEMORIAL DR
SUITE C
GOLDSBORO, NC
ZIP 27534
Phone: (919) 736-1010
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NORTH CAROLINA ORTHOTICS & PROSTHETICS OF GOLDSBORO is a prosthetic orthotic supplier in Goldsboro, NC. 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. NORTH CAROLINA ORTHOTICS & PROSTHETICS OF GOLDSBORO NPI is 1689804106. The provider is registered as an organization entity type.

The provider's business location address is:

1306 WAYNE MEMORIAL DR
SUITE C
GOLDSBORO, NC
ZIP 27534-257
Phone: (919) 736-1010
Fax: (919) 736-1011

The provider's authorized official is William Stanley Stauffer .
The authorized official title is President and has the following contact phone number (919) 736-1010.

The CLIA number assigned to this NPI record is 34D2260855 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2009 and was last updated on 9/18/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNORTH CAROLINANo
2335E00000XProsthetic/Orthotic Supplier2479DELAWAREYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16282240001MEDICARE NSCNORTH CAROLINA
27795078MEDICAIDNORTH CAROLINA
37705090MEDICAIDNORTH CAROLINA

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: 5/5/2024

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