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CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC NPI 1861773830


NPI Information

NPI: 1861773830
Provider Name: CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 36D0906522

Address:
248 BRADENTON AVENUE
DUBLIN, OH
ZIP 43017
Phone: (614) 231-4256
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CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC is a prosthetic orthotic supplier in Dublin, OH. 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. CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC NPI is 1861773830. The provider is registered as an organization entity type.

The provider's business location address is:

248 BRADENTON AVENUE
DUBLIN, OH
ZIP 43017
Phone: (614) 231-4256
Fax: (614) 231-0127

The provider's authorized official is Brenda K. Fowler .
The authorized official title is Office Manager and has the following contact phone number (614) 231-4256.

The CLIA number assigned to this NPI record is 36D0906522 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2011 and was last updated on 9/6/2011.


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 SupplierCE92437OHIOYes

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
10820553MEDICAIDOHIO
20240910001MEDICARE UPINOHIO

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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