HANGER PROSTHETICS & ORTHOTICS WEST, INC (NPI# 1629234497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629234497 |
| Entity Type | Organization |
| Organization Name | HANGER PROSTHETICS & ORTHOTICS WEST, INC |
| Other Organization Name | HANGER CLINIC |
| Practice Address |
1106 N Beeline Hwy Ste B Payson AZ 85541-5363 |
| Mailing Address |
4155 E La Palma Ave Ste B400 Anaheim CA 92807-1857 |
| Practice Telephone | 9284749896 |
| Practice Fax Number | 9284743479 |
| Mailing Telephone | 7149612102 |
| Mailing Fax Number | 7372096653 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-05-15 |
| 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 |
| Other Name | Type Code |
|---|---|
| Hanger Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053785022 | Hanger Prosthetics & Orthotics West, Inc | Durable Medical Equipment & Medical Supplies | 500 Old River Rd Ste 100, Bakersfield, CA 93311-9505 | 2015-11-13 |
| 1649381534 | Hanger Prosthetics & Orthotics West, Inc | Durable Medical Equipment & Medical Supplies | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2006-08-31 |
| 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 |
1106 N BEELINE HWY STE B |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| 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 |
|---|---|---|---|---|
| 1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
| 1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
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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.