Northern Orthopedic Laboratory Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTHERN ORTHOPEDIC LABORATORY INC.

Practice address

6604 State Highway 56 Apt 6
Potsdam, NY 13676-3546

Phone

(315) 782-9079

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Donald W Holmes, CPO

Title

President

Phone

(315) 782-9079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northern Orthopedic Laboratory Inc.

  • Prosthetic/Orthotic Supplier
  • Canton, NY
  • NPI 1659731388

  8527185107

  Same PAC ID
• Northern Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Watertown, NY
  • NPI 1154460327

  8527185107

  Same PAC ID
• Northern Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Ogdensburg, NY
  • NPI 1336288513

  8527185107

  Same PAC ID

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

Tax ID family

Northern Orthopedic Lab5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Orthopedic Laboratory Inc.

  • Prosthetic/Orthotic Supplier
  • Canton, NY
  • NPI 1659731388
  NPD tax ID
• Northern Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Syracuse, NY
  • NPI 1124167309
  NPD tax ID
• Northern Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Watertown, NY
  • NPI 1154460327
  NPD tax ID
• Northern Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Ogdensburg, NY
  • NPI 1336288513
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher E Comeau, MD

  • Family Medicine Physician
  • Ogdensburg, NY
  • NPI 1184633273
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1154964955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014337",
            "telephone_number": "315-782-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 STATE HIGHWAY 56 APT 6",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763546",
            "telephone_number": "315-782-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ORTHOPEDIC LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-782-9079",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Suzanne Norris, MD
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• North Country Psychological Services
• North Star Emergency Physicians, PC
• Northeast Medical Equipment Inc
• Northern Orthopedic Laboratory, Inc.
• Jennifer Nye, RPH
• Sara Anne O'Brian Polniak, LMHC, NCC
• Paul C O'Donnell, O.D.
• Zachary O'Neill

• Prosthetic/Orthotic Supplier in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.