Organization Active NPI

Gaitwell Orthotics and Pedorthics

  • Orthotist
  • Cincinnati, OH
National Provider Identifier
1215032669
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
LO144 Issued in OH
Legal business name
GAITWELL ORTHOTICS AND PEDORTHICS
Practice address
1 N Commerce Park Dr
Suite 306
Cincinnati, OH 45215-3187
Phone
(513) 829-2217
Fax
(513) 889-1850
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Michael D Veder, CO, CPED
Title
Owner
Phone
(937) 456-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 222Z00000X LO144 OH Primary

Addresses

Primary practice location

1 N Commerce Park Dr
Suite 306
Cincinnati, OH 45215-3187

Mailing address

1 N Commerce Park Dr Ste 306
Cincinnati, OH 45215-3188
Phone (513) 829-2217

Other identifiers 5

IdentifierTypeStateIssuer
0OtherOHHEALTHSMART NETWORK
A146591OtherOHMULTIPLAN
0OtherOHSTRATOSE
000000298877OtherOHANTHEM BLUE CROSS
2801436MedicaidOH

National Provider Directory

National Provider Directory

Locations

1 N Commerce Park Dr
Ste 306
Cincinnati, OH 45215
Phone (513) 829-2217

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1215032669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 306",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153188",
            "telephone_number": "513-829-2217",
            "fax_number": "513-889-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR",
            "address_2": "SUITE 306",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153187",
            "telephone_number": "513-829-2217",
            "fax_number": "513-889-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITWELL ORTHOTICS AND PEDORTHICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "VEDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-456-4800",
        "authorized_official_credential": "CO, CPED"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LO144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "A146591",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000298877",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801436",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.