NPIMap

Organization Active NPI

Orthotic Prosthetic Center, Inc

Doing business as Opc BG

  • Prosthetic/Orthotic Supplier
  • Bowling Green, OH
National Provider Identifier
1063891273
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTIC PROSTHETIC CENTER, INC
Doing business as
Opc BG
Orthotic Prosthetic Center, Inc
Practice address
1224 W Wooster St
Suite a
Bowling Green, OH 43402
Phone
(419) 352-8161
Fax
(419) 352-8174
NPI assigned
May 20, 2015
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ann Marie Cole
Title
Owner
Phone
(419) 531-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1224 W Wooster St
Suite a
Bowling Green, OH 43402

Mailing address

419 N Reynolds Road
Toledo, OH 43615
Phone (419) 531-2222

Other names 2

  • OPC BG Doing business as
  • Orthotic Prosthetic Center, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221212001874 OH DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3577689181 Practice locations: Bowling Green, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Orthotic Prosthetic Center Inc1224 W Wooster St, Bowling Green, OH 43402-2657(419) 352-8161 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Orthotic Prosthetic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1224 W Wooster St
Ste A
Bowling Green, OH 43402
Phone (419) 352-8161

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1063891273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N REYNOLDS ROAD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-531-2222",
            "fax_number": "419-531-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 W WOOSTER ST",
            "address_2": "SUITE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-352-8161",
            "fax_number": "419-352-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-531-2222"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPC BG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthotic Prosthetic Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthotic Prosthetic Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.