MIDWEST ORTHOTIC AND TECHNOLOGY CENTER MERRILLVILLE, LLC


Address: 112 E 90th Dr, Merrillville, IN 46410-7160
Phone: 2197369960

MIDWEST ORTHOTIC AND TECHNOLOGY CENTER MERRILLVILLE, LLC (NPI# 1164617874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164617874
Entity Type Organization
Organization Name MIDWEST ORTHOTIC AND TECHNOLOGY CENTER MERRILLVILLE, LLC
Other Organization Name TRANSCEND ORTHOTICS & PROSTHETICS
Practice Address 112 E 90th Dr
Merrillville
IN 46410-7160
Mailing Address 17530 Dugdale Dr
South Bend
IN 46635-1583
Practice Telephone 2197369960
Practice Fax Number 8772060397
Mailing Telephone 5742333352
Mailing Fax Number 5742881514
Enumeration Date 2007-09-06
Last Update Date 2020-02-19
Authorized Official Name MR. BERNIE VELDMAN (MANAGING PARTNER)
Authorized Official Telephone 5742333352
Authorized Official Credential C.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200888660A 05

Other Provider/Organization Names

Other Name Type Code
Transcend Orthotics & Prosthetics Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
120 E 90th Dr, Merrillville, IN 464107160 2197369960 2197369961

Office Location

Street Address 112 E 90TH DR
City MERRILLVILLE
State IN
Zip Code 46410-7160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114330537 Page Family Hearing LLC Hearing Instrument Specialist 112 E 90th Dr, Merrillville, IN 46410 2014-06-03
1245642958 Kassandra Renee Poplawski Hearing Instrument Specialist 112 E 90th Dr, Merrillville, IN 46410 2014-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023636867 Lena Danielle Clouse Pharmacist Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 2020-07-08
1134752728 All In One Therapy, LLC Speech-Language Pathologist 1800 W 84th Drive, Merrillville, IN 46410 2020-02-21
1134759335 David John Kujawa Social Worker 8398 Mississippi St., Merrillville, IN 46410 2020-01-16
1619513603 Activate Healthcare - Plumbers Local 210 Clinic Clinic/Center 2905 E 83rd Place, Merrillville, IN 46410 2019-11-25
1568946994 Larry Smith Case Manager/Care Coordinator 233 E 83, Merrillville, IN 46410 2018-09-21
1114401536 The Sheet People Durable Medical Equipment & Medical Supplies 8874 Louisiana Street, Merrillville, IN 46410 2018-09-21
1659858439 Heather Grinder Hearing Instrument Specialist 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 2018-07-24
1710463872 Mitchell G Smith Optometrist 1601 E 81st Ave, Merrillville, IN 46410 2018-07-12
1336631753 Nwi Mobility, Inc. Durable Medical Equipment & Medical Supplies 1454 E. 86th Place, Merrillville, IN 46410 2018-06-01
1659860427 Wendell B Fleming Counselor 230 West 175th Place, Apartment I, Merrillville, IN 46410 2018-05-07
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013182971 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 8695 Connecticut Street, Suite E, Merrillville, IN 46410 2008-04-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639781081 Kenney Orthopedics Indianapolis, LLC Prosthetic/Orthotic Supplier 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 2020-08-18
1982220109 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 3647 Clifty Dr, Madison, IN 47250-1649 2020-06-23
1154941557 Radiance Renewed Prosthetic/Orthotic Supplier 9445 Indianapolis Blvd Ste 1042, Highland, IN 46322-2648 2020-04-26
1295397735 Orthopedic and Sports Medicine Center of Northern Indiana, Inc Prosthetic/Orthotic Supplier 200 E Jackson Blvd Ste 130, Elkhart, IN 46516-3513 2019-07-05
1710465166 Cranial Technologies Inc Prosthetic/Orthotic Supplier 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 2018-07-29
1285135913 Excel Orthotics and Prosthetics LLC Prosthetic/Orthotic Supplier 3200 Sycamore Ct Ste 2b, Columbus, IN 47203-1552 2018-02-27
1003326174 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 3130a Windsor Ct, Elkhart, IN 46514-5556 2017-10-03
1285144352 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 1101 Glendale Blvd Ste 105, Valparaiso, IN 46383-3769 2017-10-03
1669904579 Jordan Poynter Prosthetic/Orthotic Supplier 3708 S Lafountain St, Kokomo, IN 46902-3805 2017-03-30
1184156101 Shawn Dee Brown Prosthetic/Orthotic Supplier 2410 N Glendale Dr Ste C, Fort Wayne, IN 46804-8909 2017-03-29
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City MERRILLVILLE
Zip Code 46410

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Dataset Information

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.

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