Advanced Anatomical Design LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCED ANATOMICAL DESIGN LLC

Practice address

375 West Main St
Canfield, OH 44406-1433

Phone

(330) 533-7207

Fax

(330) 533-7991

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By 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

Mr. Donald T Weldon, LPED LO CO

Title

Co President

Phone

(330) 533-7207

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104915677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WEST MAIN ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061433",
            "telephone_number": "330-533-7207",
            "fax_number": "330-533-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WEST MAIN ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061433",
            "telephone_number": "330-533-7207",
            "fax_number": "330-533-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ANATOMICAL DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "330-533-7207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPED LO CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000230289",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2323391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Canfield, OH
• Providers in Canfield, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.