Organization Active NPI

Innovative Prosthetic Care, Inc.

Doing business as Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Ocean Springs, MS
National Provider Identifier
1114219771
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
07661/11.1 Issued in MS
Legal business name
INNOVATIVE PROSTHETIC CARE, INC.
Doing business as
Hanger Clinic
Practice address
7530 Highway 57
Ste I
Ocean Springs, MS 39565-6512
Phone
(228) 875-8354
Fax
(228) 604-0815
NPI assigned
May 13, 2011
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HANGER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Ms. Sheryl Price
Title
Director of Reimbursement
Phone
(503) 493-8288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X 07661/11.1 MS Primary

Addresses

Primary practice location

7530 Highway 57
Ste I
Ocean Springs, MS 39565-6512

Mailing address

PO Box 650846
Dallas, TX 75265-0846
Phone (228) 604-0818

Other names 1

  • Hanger Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7350 Highway 57
Ste 1
Ocean Springs, MS 39565
Phone (228) 875-8354

7530 Highway 57
#I
Ocean Springs, MS 39565
Phone (228) 875-8354

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1114219771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846",
            "telephone_number": "228-604-0818",
            "fax_number": "228-604-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 HIGHWAY 57",
            "address_2": "STE I",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395656512",
            "telephone_number": "228-875-8354",
            "fax_number": "228-604-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETIC CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER, INC.",
        "enumeration_date": "2011-05-13",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MS",
            "license": "07661/11.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.