Advanced Prosthetic Services, Inc.
Organization Active NPI Prosthetic/Orthotic Supplier · Searcy, AR
NPI 1023213295 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1023213295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ADVANCED PROSTHETIC SERVICES, INC.
- Practice address
- 2930 E Moore Ave
Searcy, AR 72143-4831 - Phone
- (501) 368-0868
- Fax
- (501) 368-0003
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Ashley Moss
- Title
- President
- Phone
- (501) 368-0868
Practitioners 3
-
Ashley Moss, CPO
-
Ella Beth Durham, CPO, C.PED
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Prosthetic Services Inc |
Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930059503 | AR | DME Supplier - Orthotic Personnel |
7719197102 | Practice locations: Searcy, AR |
National Provider Directory
Locations
2930 E Moore Ave
Searcy, AR 72143
Phone (501) 368-0868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
2930 E Moore Ave
Searcy, AR 72143-4831
Mailing address
2930 E Moore Ave
Searcy, AR 72143-4831
Phone (501) 368-0868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157554716 | Medicaid | AR |
Other providers in Searcy, AR
- Access Medical Sales & Service, LLC
- Trina T Acevedo
- Rebecca Anne Addington
- Advanced Care Hospital of White County
- Advanced Counseling and Neurofeedback
- Maya Advani
- Aeffect Solutions LLC
- Dana Ahmad
- Jenna Akins
- Comfort Temitope Akinyemi
All providers in Searcy, AR · Prosthetic/Orthotic Supplier in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.