Eastpoint Prosthetics & Orthotics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

EASTPOINT PROSTHETICS & ORTHOTICS, INC.

Practice address

2149 Stumbo Rd
Ontario, OH 44906-1265

Phone

(419) 512-9841

Fax

(419) 775-5861

NPI assigned

Sep 26, 2018

Last updated

Dec 3, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTPOINT PROSTHETICS & ORTHOTICS, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Gene Johnson

Title

Billing Associate

Phone

(252) 522-3278

Specialties & licenses 2

Addresses

Part of

Eastpoint Prosthetics Orthotics Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Bailey, CP

  • Prosthetist
  • Mansfield, OH
  • NPI 1174002133
  NPD (past)
• Matthew W Delay, C.PED.

  • Pedorthist
  • Ontario, OH
  • NPI 1821784299

  Orthotist

  NPD (past)
• Laura Joan Marden, CPO

  • Orthotist
  • Lexington, KY
  • NPI 1821622606
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1003391939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048208",
            "telephone_number": "252-522-3278",
            "fax_number": "252-522-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 STUMBO RD",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061265",
            "telephone_number": "419-512-9841",
            "fax_number": "419-775-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINT PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTPOINT PROSTHETICS & ORTHOTICS, INC",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "BILLING ASSOCIATE",
        "authorized_official_telephone_number": "252-522-3278"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Doup, MSN, APRN, NP-C
• Emily Dowdell, MOT, OTR/L
• Kayla M Durbin, PT, DPT
• Anjuli Michele Eagleston, MD
• S Justin Michael Eagleston
• Ec Opco Ontario, LLC
• Walker Shane Elliott, RPH, PHARMD
• Family Chiropractic Services,Inc.
• Gwendoline Fang, M.D
• Megan Farver, M.A., CCC-SLP

• Customized Equipment (DME) in Ontario, OH
• Providers in Ontario, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.