MEDSOURCE ORTHOTICS & PROSTHETICS (NPI# 1275605461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275605461 |
| Entity Type | Organization |
| Organization Name | MEDSOURCE ORTHOTICS & PROSTHETICS |
| Other Organization Name | HAMILTON PROSTHETIC CENTER |
| Practice Address |
9305 W. Thomas Rd Suite 150 Phoenix AZ 85037 |
| Mailing Address |
3636 N 3rd Ave Ste 100 Phoenix AZ 85013-3938 |
| Practice Telephone | 6237380301 |
| Practice Fax Number | 6023953361 |
| Mailing Telephone | 6023953354 |
| Mailing Fax Number | 6023953361 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | DAVID CHARLES (PRESIDENT) |
| Authorized Official Telephone | 8012555202 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSOURCE ORTHOTICS & PROSTHETICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Hamilton Prosthetic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104968288 | Medsource Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 14821 N Del Webb Blvd, Suite 24, Sun City, AZ 85351 | 2007-02-13 |
| Street Address |
9305 W. THOMAS RD SUITE 150 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| 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 |
|---|---|---|---|---|
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1548787930 | Limb Center LLC | Prosthetic/Orthotic Supplier | 3020 N 44th St, Phoenix, AZ 85018-7206 | 2017-08-25 |
| 1003341959 | Team Makena LLC | Prosthetic/Orthotic Supplier | 3702 E Roeser Rd, 4, Phoenix, AZ 85040-9046 | 2017-04-28 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1750693982 | Orthotic & Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 236 E Hatcher Rd, Phoenix, AZ 85020-2423 | 2010-07-02 |
| 1942409487 | Barbara Goldstein | Prosthetic/Orthotic Supplier | 5350 N 16 St, 101, Phoenix, AZ 85016-3213 | 2007-07-14 |
| 1386786614 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3636 N 3rd Ave, Suite 100, Phoenix, AZ 85013-3904 | 2007-02-13 |
| 1386718260 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 4050 E Cotton Center Blvd, Suite 60, Phoenix, AZ 85040-8861 | 2006-11-20 |
| 1093717365 | Orthotic Specialists, Inc | Prosthetic/Orthotic Supplier | 2650 E Mcdowell Rd, Phoenix, AZ 85008 | 2005-06-01 |
| Find all providers in PHOENIX | ||||
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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.