Active NPI
Laurel Medical Supplies, Inc.
- Prosthetic/Orthotic Supplier
- Duncansville, PA
National Provider Identifier
1104081496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 6000007239
- Legal business name
- LAUREL MEDICAL SUPPLIES, INC.
- Practice address
- 1792 Old Route 220 North
Duncansville, PA 16635 - Phone
- (814) 317-5041
- Fax
- (814) 317-5044
- NPI assigned
- Jul 25, 2008
- Organization subpart
- Yes
- Parent organization
- LAUREL MEDICAL SUPPLIES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John J Letizia, ATS
- Title
- President
- Phone
- (800) 338-1702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 6000007239 | PA | Primary |
Addresses
Primary practice location
1792 Old Route 220 North
Duncansville, PA 16635
Mailing address
1792 Old Route 220 North
Duncansville, PA 16635
Phone (814) 317-5041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001098403 | Medicaid | PA | |
| 2149623 | Other | HIGHMARK BC/BS |
Other names 1
- Golden Orthotics and Prosthetics
National Provider Directory
National Provider Directory- Part of
- Laurel Medical Supplies
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Ebensburg, PA
- NPI 1891777348
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- The Woodlands, TX
- NPI 1134108343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305849600000",
"number": "1104081496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 OLD ROUTE 220 NORTH",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "16635",
"telephone_number": "814-317-5041",
"fax_number": "814-317-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 OLD ROUTE 220 NORTH",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "16635",
"telephone_number": "814-317-5041",
"fax_number": "814-317-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL MEDICAL SUPPLIES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAUREL MEDICAL SUPPLIES, INC.",
"enumeration_date": "2008-07-25",
"last_updated": "2011-05-20",
"status": "A",
"authorized_official_last_name": "LETIZIA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-338-1702",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ATS"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "PA",
"license": "6000007239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001098403",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "2149623",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Orthotics and Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duncansville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.