Advanced Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCED PROSTHETICS, INC.

Practice address

1 Brushy Meadows Dr
Greer, SC 29650-1006

Phone

(864) 989-1946

Fax

(864) 989-1947

NPI assigned

Dec 30, 2005

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Baker

Title

Dir. of HR

Phone

(864) 622-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Dean Hesselgrave, CPO

  • Specialist
  • Greer, SC
  • NPI 1740504158
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1164409074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRUSHY MEADOWS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501006",
            "telephone_number": "864-989-1946",
            "fax_number": "864-989-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRUSHY MEADOWS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501006",
            "telephone_number": "864-989-1946",
            "fax_number": "864-989-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIR. OF HR",
        "authorized_official_telephone_number": "864-622-0900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "023793049",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2627",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Carraway DMD
• Nathanael Augustine Adams, MD
• Adamy D Diaz-Carpenter (Angel Dolfyn Connection)
• Marjorie Addonizio
• Advanced Pharmacy Concepts, LLC
• Advantage Home Medical Company
• Aeroflow Inc (Aeroflow Healthcare)
• Aeroflow Medical Services PC
• Amna Saleem Ahmed, MD
• Shady Al Khateeb

• Prosthetic/Orthotic Supplier in Greer, SC
• Providers in Greer, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.