Active NPI
Hanger Prosthetics & Orthotics East Inc
- Prosthetic/Orthotic Supplier
- Bartlesville, OK
National Provider Identifier
1043384902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HANGER PROSTHETICS & ORTHOTICS EAST INC
- Doing business as
- Hanger Clinic
- Practice address
- 1904 SE Washington Blvd
Bartlesville, OK 74006-6736 - Phone
- (918) 333-6900
- NPI assigned
- Nov 20, 2006
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Reg Compliance Specialist III
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1904 SE Washington Blvd
Bartlesville, OK 74006-6736
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100794930M | Medicaid | OK | |
| 100211240I | Medicaid | KS |
Other names 1
- Hanger Clinic
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1659443380
Member Of
Locations
1904 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 333-6900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mastectomy Fitter
- Bartlesville, OK
- NPI 1053840850
-
- Prosthetist
- Bartlesville, OK
- NPI 1578700217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612828800000",
"number": "1043384902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650846",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 SE WASHINGTON BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740066736",
"telephone_number": "918-333-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANGER PROSTHETICS & ORTHOTICS EAST INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2006-11-20",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "ANGELINE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
"authorized_official_telephone_number": "714-961-2102"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100794930M",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100211240I",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.