Medsource Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDSOURCE ORTHOTICS & PROSTHETICS

Practice address

14821 N del Webb Blvd
Suite 24
Sun City, AZ 85351

Phone

(623) 815-1001

Fax

(623) 815-1441

NPI assigned

Feb 13, 2007

Organization subpart

Yes

Parent organization

MEDSOURCE ORTHOTICS & PROSTHETICSAs reported in NPPES

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) 255-5202

Specialties & licenses 1

Addresses

Other names 1

• Hamilton Prosthetic Center Doing business as

Part of

Medsource Orthotics Prosthetics

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1104968288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 3RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133938",
            "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": "14821 N DEL WEBB BLVD",
            "address_2": "SUITE 24",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "623-815-1001",
            "fax_number": "623-815-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSOURCE ORTHOTICS & PROSTHETICS",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-255-5202"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Prosthetic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton Prosthetic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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 May 15, 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.