John Sprouse

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JOHN SPROUSE

Practice address

1513 Montague Avenue Ext
Greenwood, SC 29649-9030

Phone

(864) 229-3997

Fax

(864) 388-9419

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

John Sprouse

Title

Owner

Phone

(864) 229-3997

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Biomechanical Solutions Doing business as

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1043471006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 MONTAGUE AVENUE EXT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499030",
            "telephone_number": "864-229-3997",
            "fax_number": "864-388-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 MONTAGUE AVENUE EXT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499030",
            "telephone_number": "864-229-3997",
            "fax_number": "864-388-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SPROUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "SPROUSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-229-3997"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Biomechanical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samuel Lee Johansen, OD
• Chacko John, M.D.
• Allie Johnson, DPT
• Deshandra Felisha Johnson, LPC
• Jane Pruett Johnson, OTR/L
• Joel Johnson, PHARMD

• Prosthetic/Orthotic Supplier in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.