OTTO BOCK HEALTHCARE LP (NPI# 1962538827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962538827 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK HEALTHCARE LP |
| Practice Address |
1000 Post N Paddock Rd Ste 405 Grand Prairie TX 75050-1144 |
| Mailing Address |
Two Carlson Pkwy - Ste 100 Attn Sharon Clark/contracts Minneapolis MN 55447-4467 |
| Practice Telephone | 9729886033 |
| Practice Fax Number | 8667918186 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2007-02-26 |
| 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 | 0084892 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | USA MCO PIN # | 861099 | 01 |
| TX | ABP DMENSION PIN # | 26106 | 01 |
| TX | CCN PIN # | 5453317 | 01 |
| TX | NORTHWOOD NPN PIN # | 82108 | 01 |
| TX | CARECENTRIX PIN # | 1220 | 01 |
| TX | AETNA HMO PIN # | 2624721 | 01 |
| TX | AETNA NONHMO PIN # | 7850253 | 01 |
| TX | BCBS TX DME PIN # | 531051 | 01 |
| TX | BCBS TX O & P PIN # | 532248 | 01 |
| TX | FIRST CARE PIN # | 105234101 | 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 |
| Indiana Business Entities | OTTO BOCK HEALTHCARE LP | Two Carlson Pkwy N, Ste 100, Plymouth, MN 55447 |
| Street Address |
1000 POST N PADDOCK RD STE 405 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| 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 |
|---|---|---|---|---|
| 1134693567 | Excel Dme LLC | Durable Medical Equipment & Medical Supplies | 517 N Carrier Pkwy Ste F, Grand Prairie, TX 75050-5464 | 2019-01-18 |
| 1952815979 | Anchorage Medical Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 2580 W Camp Wisdom Rd #100199, Grand Prairie, TX 75052 | 2017-11-29 |
| 1194251520 | Willie Andrew Scott | Durable Medical Equipment & Medical Supplies | 5427 Maverick Dr, Grand Prairie, TX 75052-2638 | 2017-05-04 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1699059691 | Ikonmed Corp. | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock St Ste 409, Grand Prairie, TX 75050-1143 | 2011-10-10 |
| 1306143490 | Uromed, Inc. | Durable Medical Equipment & Medical Supplies | 3080 W Interstate 20 Ste A, Grand Prairie, TX 75052-8048 | 2011-02-25 |
| 1629379227 | Hannah Amaefula | Durable Medical Equipment & Medical Supplies | 2306 Oak Ln Ste 4, Grand Prairie, TX 75051-8819 | 2010-11-12 |
| 1831407584 | Click Wheelchair Services | Durable Medical Equipment & Medical Supplies | 2429 Dalworth St, Suite 101, Grand Prairie, TX 75050-4980 | 2010-09-15 |
| 1750692802 | Geeta Khare | Durable Medical Equipment & Medical Supplies | 2304 Oak Ln Ste 5, Grand Prairie, TX 75051-8814 | 2010-06-23 |
| 1205152840 | Jhh Dme | Durable Medical Equipment & Medical Supplies | 2701 Osler Dr Ste 4, Grand Prairie, TX 75051-8388 | 2010-04-07 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
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.