Active NPI
Gaitwell Orthotics and Pedorthics
- Orthotist
- Cincinnati, OH
National Provider Identifier
1215032669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- LO144
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | OH | HEALTHSMART NETWORK |
| A146591 | Other | OH | MULTIPLAN |
| 0 | Other | OH | STRATOSE |
| 000000298877 | Other | OH | ANTHEM BLUE CROSS |
| 2801436 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.