Scott Sabolich Prosthetics & Research LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP2626 Issued in OK

Legal business name

SCOTT SABOLICH PROSTHETICS & RESEARCH LLC

Practice address

10201 Broadway Ext
Oklahoma City, OK 73114-6217

Phone

(405) 463-0203

Fax

(405) 463-0251

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Lewis, CPCO

Title

Evp of Licensure & Accreditation

Phone

(512) 806-2861

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • N Charleston, SC
  • NPI 1780374488

  Member Of

  NPD member

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1124075833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16231",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731132231",
            "telephone_number": "405-463-0203",
            "fax_number": "405-463-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146217",
            "telephone_number": "405-463-0203",
            "fax_number": "405-463-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SABOLICH PROSTHETICS & RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EVP OF LICENSURE & ACCREDITATION",
        "authorized_official_telephone_number": "512-806-2861",
        "authorized_official_credential": "CPCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "CP2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100812550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Scorsone, PA-C
• Scott K Lucas, MD
• Scott M Carel DDS PC
• Scott Maxwell, M.D., P.C.
• Scott Pfister PLLC
• -Debratunt S Scott
• Alexa Scott, PHARMD
• Amanda Scott
• Andrea Lynn Scott
• Andrea Rae Scott, D.O.

• Prosthetic/Orthotic Supplier in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Prosthetic/Orthotic Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.