OTTO BOCK HEALTHCARE LP (NPI# 1821122151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821122151 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK HEALTHCARE LP |
| Practice Address |
1650 Skylyn Dr Ste 320 Spartanburg SC 29307-1058 |
| Mailing Address |
Two Carlson Pkwy - Ste 100 Attn Sharon Clark Minneapolis MN 55447-4467 |
| Practice Telephone | 8645736340 |
| Practice Fax Number | 8008542216 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | SHARON KAY CLARK (PAYOR RELATIONS & CONTRACT ADMIN) |
| Authorized Official Telephone | 7632535679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ACM PIN # | 1016078 | 01 |
| SC | AETNA NONHMO PIN # | 7850253 | 01 |
| SC | USA MCO PIN # | 861099 | 01 |
| SC | AETNA HMO PIN # | 2624721 | 01 |
| SC | DE2643 | 05 | |
| SC | CARECENTRIX PIN # | 1220 | 01 |
| SC | ABP DMENSION PIN # | 26106 | 01 |
| SC | CCN PIN # | 5453317 | 01 |
| SC | NORTHWOOD NPN PIN # | 82108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
| 1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
| 1396926580 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8897 Duncan Rd, San Diego, CA 92126-2435 | 2007-11-16 |
| 1174703896 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 19 Olney Dr, Buffalo, NY 14226-3341 | 2007-11-09 |
| 1407036171 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 705 Tollgate Rd, Suite F, Elgin, IL 60123-9327 | 2007-11-09 |
| 1194922401 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1468 Madison Ave, Box 1241, Guggenheim Pavillion, Mc Level, New York, NY 10029 | 2007-06-29 |
| 1518164276 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 5012 Oxfordshire Rd, Waxhaw, NC 28173-7324 | 2007-06-27 |
| 1659572352 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 440 North State Rd 7, Suite F, Royal Palm Beach, FL 33411-3504 | 2007-05-30 |
| 1285845131 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1002 Marquette St # B, Bay City, MI 48706-4023 | 2007-05-24 |
| 1003025958 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 2350 34th St, Lubbock, TX 79411-1634 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OTTO BOCK HEALTHCARE LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Virginia Business Entities | Otto Bock HealthCare LP | Two Carlson Pkwy North Ste 100, Plymouth, Minnesota 55447 |
| New York State Corporations | OTTO BOCK HEALTHCARE LP | 80 State Street, Albany, New York 12207-2543 |
| Colorado Business Entities | Otto Bock HealthCare LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| North Carolina Corporations | Otto Bock Healthcare LP | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Oklahoma Business Registrations | OTTO BOCK HEALTHCARE LP | Two Carlson Parkway N, Suite 100, Plymouth, MN 55447-4467 |
| Street Address |
1650 SKYLYN DR STE 320 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209752 | Amanda Renee Leche | Physician Assistant | 1650 Skylyn Dr, Spartanburg, SC 29307-1047 | 2005-10-14 |
| 1538494190 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 1650 Skylyn Dr, Ste 320, Spartanburg, SC 29307-1047 | 2009-10-14 |
| 1568655587 | Mary Black Physician Services, LLC | Durable Medical Equipment & Medical Supplies | 1650 Skylyn Dr, Suite 200, Spartanburg, SC 29307-1047 | 2007-08-22 |
| 1073646642 | Pamela Gonzalez | Physical Therapist | 1650 Skylyn Dr, Spartanburg, SC 29307-1047 | 2007-03-13 |
| 1659440675 | Ryan Bitzel | Physical Therapist | 1650 Skylyn Dr, Spartanburg, SC 29307-1047 | 2006-11-06 |
| 1073618047 | Douglas Wix | Physical Therapist | 1650 Skylyn Dr, Suite 110, Spartanburg, SC 29307-1047 | 2006-09-14 |
| 1336153527 | Dolores Patricia Mendelow | Pediatrics | 1650 Skylyn Dr, Ste 240, Spartanburg, SC 29307-1047 | 2006-07-27 |
| 1609815257 | Thomas J. Watts | Emergency Medicine | 1650 Skylyn Dr, Mary Black Memorial Hospital - Emergency Dept., Spartanburg, SC 29307-1047 | 2006-06-06 |
| 1881645562 | Lisa Forgione | Family Medicine | 1650 Skylyn Dr, Spartanburg, SC 29307-1047 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339220 | Donald Jason Jolley | Durable Medical Equipment & Medical Supplies | 1413 Wo Ezell Blvd, Spartanburg, SC 29301-1560 | 2020-02-25 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1881118511 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Pine St Ste 32, Spartanburg, SC 29303-3182 | 2017-08-03 |
| 1619490646 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1510 Wo Ezell Blvd, Spartanburg, SC 29301-2616 | 2017-07-21 |
| 1376095620 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 225 E Blackstock Rd, Spartanburg, SC 29301-2633 | 2016-11-02 |
| 1215375944 | Southeastern Paper Group | Durable Medical Equipment & Medical Supplies | 50 Old Blackstock Rd, Spartanburg, SC 29301-5571 | 2013-06-04 |
| 1699086546 | Peacock Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8147 Warren H Abernathy Hwy, Spartanburg, SC 29301-2451 | 2010-06-25 |
| 1912221664 | Peaock Medical Equipment & Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 550 S Church St Ste 11, Spartanburg, SC 29306-3306 | 2010-03-24 |
| 1750549341 | Miracle Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 275 S Church St, Suite 103, Spartanburg, SC 29306-3417 | 2008-05-30 |
| 1922283308 | David E Byers | Durable Medical Equipment & Medical Supplies | 1413 W O Ezell Blvd, Spartanburg, SC 29301-1560 | 2008-01-04 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
Please comment or provide details below to improve the information on OTTO BOCK HEALTHCARE LP.
| 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.