HANGER PROSTHETICS & ORTHOTICS WEST, INC. (NPI# 1053485102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053485102 |
Entity Type | Organization |
Organization Name | HANGER PROSTHETICS & ORTHOTICS WEST, INC. |
Practice Address |
832 W Harvard Ave Roseburg OR 97471-2960 |
Mailing Address |
4155 E La Palma Ave Ste B400 Anaheim CA 92807-1857 |
Practice Telephone | 5416727482 |
Mailing Telephone | 7149612102 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-02-03 |
Authorized Official Name | GRACE ANGELINE (REG COMPLIANCE SPECIALIST III) |
Authorized Official Telephone | 7149612102 |
Is Organization Subpart | Y |
Parent Organization Name | HANGER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 061908 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174981989 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 9460 N Name Uno Ste 240, Gilroy, CA 95020-3538 | 2016-02-08 |
1245698406 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 1301 Medical Pkwy Ste 120, Cedar Park, TX 78613-2529 | 2016-02-03 |
1609185768 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 5050 Ne Hoyt St Ste B50, Portland, OR 97213-2957 | 2010-10-06 |
1801100474 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 2300 E 30th St Ste B104, Farmington, NM 87401-8991 | 2010-08-05 |
1164754164 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 1055 N La Canada Dr Ste 129, Green Valley, AZ 85614-3700 | 2010-02-02 |
1598090565 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 1655 S Market Blvd, Suite B, Chehalis, WA 98532-3826 | 2009-10-08 |
1194960039 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 3501 S Mercy Rd Ste 103, Gilbert, AZ 85297-0438 | 2008-12-05 |
1265684799 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 313 W Country Club Rd Ste 14, Roswell, NM 88201-5804 | 2008-10-15 |
1144485384 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 23206 Lyons Ave Ste 111, Santa Clarita, CA 91321-2671 | 2008-07-28 |
1659549251 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 6430 Medical Center St, Suite 101, Las Vegas, NV 89148-2403 | 2008-02-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST, INC | 4410 Arapahoe Ave Ste 220, Boulder, CO 80303-1155 |
Oregon Corporations, Companies and Business Names | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Drive Suite 300, Austin, TX 78758 |
System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 2901 Medical Arts St Ste 500, Austin, TX 78705-3335 |
Washington State Corporations | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Dr Ste 300, Austin, TX 78758 |
Colorado Business Entities | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Dr., Ste 300, Austin, TX 78758 |
Connecticut Business Registrations | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Drive, Suite 300, Austin, TX 78758 |
Street Address |
832 W HARVARD AVE |
City | ROSEBURG |
State | OR |
Zip Code | 97471-2960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
Find all providers in zip 97471 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
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. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003020066 | Spectrum Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 3369 Ne Stephens St Ste 101, Roseburg, OR 97470-1200 | 2007-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811500705 | Synergy Medical Systems, LLC | Prosthetic/Orthotic Supplier | 19365 Sw 65th Ave Ste 210, Tualatin, OR 97062-9196 | 2020-08-28 |
1881007607 | Shannon Levin | Prosthetic/Orthotic Supplier | 441 Union St Ne, Salem, OR 97301-2458 | 2014-06-09 |
1174892640 | Cognitive Harmonics, Inc | Prosthetic/Orthotic Supplier | 2104 Hill Way, Medford, OR 97504-6208 | 2011-12-29 |
1841581717 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1150 Knutson Ave, Suite 12, Medford, OR 97504-3100 | 2011-04-27 |
1417257742 | A Step Forward LLC | Prosthetic/Orthotic Supplier | 744 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2010-11-03 |
1467783761 | Elliott Pedorthic Care LLC | Prosthetic/Orthotic Supplier | 85084 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2010-01-26 |
1780836049 | Angel Hair Foundation Inc | Prosthetic/Orthotic Supplier | 2783 Suncrest Ave, Eugene, OR 97405-5923 | 2008-10-17 |
1295986065 | Mirage Hair Systems, Inc. | Prosthetic/Orthotic Supplier | Suite 210 Oakway Ctr, Suite 210, Eugene, OR 97401-5618 | 2008-10-09 |
1457517138 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368 | 2008-08-01 |
1518148105 | Paradox Walkfit Inc. | Prosthetic/Orthotic Supplier | 15532 Sw Pacific Hwy, Suite C1a, Tigard, OR 97224-3598 | 2007-11-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.