Advanced Prosthetics of Seneca, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCED PROSTHETICS OF SENECA, INC.

Practice address

108 Keowee School Rd
Seneca, SC 29672-6741

Phone

(864) 886-8952

Fax

(864) 886-8954

NPI assigned

Jul 17, 2006

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Baker

Title

Dir. of HR

Phone

(864) 622-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1083632020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KEOWEE SCHOOL RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726741",
            "telephone_number": "864-886-8952",
            "fax_number": "864-886-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KEOWEE SCHOOL RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726741",
            "telephone_number": "864-886-8952",
            "fax_number": "864-886-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETICS OF SENECA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIR. OF HR",
        "authorized_official_telephone_number": "864-622-0900"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2799",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwina@advancedpro.biz",
            "affiliation": "Y",
            "endpointDescription": "edwina@advancedpro.biz",
            "affiliationName": "Advanced Prosthetics of Seneca, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 Keowee School Rd",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296726741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathaniel Bradley Adams, DPT
• John Ray Addison, LPC
• Omotola Aduke Adebayo, NP
• Sadiksha Adhikari, M.D.
• Donna Lee Adkins, RPH
• Hashim Syed Ahmed, MD
• Sharlene C Aiken, COTA
• Mahabuba Akhter
• Safdar Alam, MD
• Tauqueer S Alam, M.D.

• Prosthetic/Orthotic Supplier in Seneca, SC
• Providers in Seneca, 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 May 4, 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.

Verify at the official NPI Registry.