Ortho Medics Omaha

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHO MEDICS OMAHA

Doing business as

OrthoMedics

Practice address

6601 S 118TH St Ste 100
Omaha, NE 68137-3584

Phone

(402) 614-7321

Fax

(402) 614-8277

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Kassie Harnden

Title

President

Phone

(402) 614-7321

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• OrthoMedics Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1144465352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 S 118TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373584",
            "telephone_number": "402-614-7321",
            "fax_number": "402-614-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 S 118TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373584",
            "telephone_number": "402-614-7321",
            "fax_number": "402-614-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO MEDICS OMAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "HARNDEN",
        "authorized_official_first_name": "KASSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-614-7321"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "40023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE",
            "identifier": "NONE",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025827200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144465352",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoMedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoMedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatom Ortega
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• Prosthetic/Orthotic Supplier in Omaha, NE
• Providers in Omaha, NE by specialty
• Prosthetic/Orthotic Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.