Medsource Orthotics & Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDSOURCE ORTHOTICS & PROSTHETICS, INC

Practice address

13203 N 103Rd Ave Ste J1&J2
Sun City, AZ 85351

Phone

(602) 395-3354

Fax

(602) 395-3361

NPI assigned

Sep 30, 2016

Organization subpart

No

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

Authorized official

Name

David Charles

Title

President

Phone

(801) 890-6824

Specialties & licenses 1

Addresses

Other names 1

• Hamilton Prosthetics Doing business as

Locations

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1043769169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 NORTH 3RD AVENUE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133904",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE STE J1&J2",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-890-6824"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Super Center
• Cynthia Lynn Medina, D.O.
• Medipro Transport LLC
• Heather Mednansky, MSN, APRN, FNP-C
• Medsource Orthotics & Prosthetics
• Medvidi Health PC
• Melanie Meguro, MD
• Nina Mehranfar, DMD
• Minal Jaydip Mehta, D.D.S
• Mona Girish Mehta, M.D.

• Prosthetic/Orthotic Supplier in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.