Innovative Prosthetic Care Tupelo LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNOVATIVE PROSTHETIC CARE TUPELO LLC

Doing business as

Innovative Prosthetic Care

Practice address

1714 N Gloster St
Tupelo, MS 38804-1216

Phone

(662) 844-2202

Fax

(601) 510-1610

NPI assigned

Aug 25, 2011

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

HANGER, INC.As reported in NPPES

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

Authorized official

Name

Ms. Sheryl S Price

Title

Director of Reimbursement

Phone

(503) 493-8288

Specialties & licenses 2

Addresses

Other names 1

• Innovative Prosthetic Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
  • NPI 1801120175

  Member Of

  NPD member

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1033499744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9034B CARL LEGETT RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036234",
            "telephone_number": "228-604-0818",
            "fax_number": "228-604-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041216",
            "telephone_number": "662-844-2202",
            "fax_number": "601-510-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETIC CARE TUPELO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER, INC.",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Prosthetic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imaging Center at Gloster Creek Village PLLC
• Abrahim Imam
• Laura Akugbe Imarhiagbe, M.D.
• Malinda Ingram, FNP
• Laura Kate Inman
• Thomas A Ireland, M.D.
• David H Irwin Jr., MD
• Robert Bryson Irwin, M.D.
• Ivancic Pediatric Clinic PA
• Milan Edward Ivancic, MD

• Prosthetic/Orthotic Supplier in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.