HANGER PROSTHETICS & ORTHOTICS EAST INC (NPI# 1902970866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902970866 |
Entity Type | Organization |
Organization Name | HANGER PROSTHETICS & ORTHOTICS EAST INC |
Practice Address |
301 Main St Mount Vernon IL 62864-3647 |
Mailing Address |
4155 E La Palma Ave Ste B400 Anaheim CA 92807-1857 |
Practice Telephone | 6182449456 |
Mailing Telephone | 7149612102 |
Mailing Fax Number | 7372096653 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-01-31 |
Authorized Official Name | GRACE ANGELINE (REG COMPLIAANCE 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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689291536 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 3450 High Point Blvd Ste E, Bethlehem, PA 18017-7801 | 2020-06-26 |
1720611072 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 55 Fruit St Ste 3c, Yawkey Bldg, Boston, MA 02114-2621 | 2020-02-14 |
1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
1417314212 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 380 2nd Ave Ste 1002, New York, NY 10010-5640 | 2016-01-25 |
1639564867 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 100 Tower Dr Ste 101, Burr Ridge, IL 60527-5778 | 2015-04-03 |
1295132157 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17500 Burke St Ste 100, Omaha, NE 68118-2244 | 2014-11-20 |
1689097347 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 5955 S Highway 16, Suite C, Rapid City, SD 57701-8911 | 2014-01-30 |
1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
1437499548 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1828 E 9th St, Trenton, MO 64683 | 2013-02-26 |
1558622811 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 124 N Henderson Ave Ste A, Sevierville, TN 37862-5948 | 2012-06-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Hanger Prosthetics & Orthotics East Inc. | 10910 Domain Dr Ste 300, Austin, Texas 78758-7807 |
Street Address |
301 MAIN ST |
City | MOUNT VERNON |
State | IL |
Zip Code | 62864-3647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
Find all providers in zip 62864 |
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 |
---|---|---|---|---|
1245384148 | Cornerstone Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 | 2007-01-22 |
1366512949 | Cascade Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 17670 Dunbar Rd, Mount Vernon, WA 98273-8752 | 2006-11-09 |
1194078816 | Vivian L Martin | Prosthetic/Orthotic Supplier | 1024 Jordan St, Mount Vernon, IL 62864-4231 | 2012-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 62864 |
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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.