Active NPI
Anatomical Designs, Inc.
- Prosthetic/Orthotic Supplier
- Uniontown, PA
National Provider Identifier
1215913413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ANATOMICAL DESIGNS, INC.
- Practice address
- 383 Dixon Blvd
Uniontown, PA 15401-3967 - Phone
- (724) 430-1470
- Fax
- (724) 430-1472
- NPI assigned
- Dec 20, 2005
- Last updated
- Dec 10, 2014
- 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
- Mr. Shandon Howard Hime, CP, FAAOP
- Title
- Chief Executive Officer
- Phone
- (724) 430-1470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
383 Dixon Blvd
Uniontown, PA 15401-3967
Mailing address
383 Dixon Blvd
Uniontown, PA 15401-3967
Phone (724) 430-1470
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001704953 | Other | PA | MT. STATE BC/BS |
| 0017554690001 | Medicaid | PA | |
| 112893 | Other | PA | MED PLUS |
| 2429704 | Other | PA | AETNA |
| 6159011 | Other | PA | CIGNA |
| BC/BS | Other | PA | 1567946 |
| 97817 | Other | PA | ADVANTRA |
| P9094 | Other | PA | HOMELINK |
| 97817 | Other | PA | HEALTH AMERICA |
| 97817 | Other | PA | HEALTH ASSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930083784 | PA | DME Supplier - Orthotic Personnel | 0042400145 | Practice locations: Uniontown, PA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Anatomical Designs, Inc. | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Anatomical Designs Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Bridgeport, WV
- NPI 1124478854
-
- Prosthetic/Orthotic Supplier
- Morgantown, WV
- NPI 1962475053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418169600000",
"number": "1215913413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 DIXON BLVD",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013967",
"telephone_number": "724-430-1470",
"fax_number": "724-430-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 DIXON BLVD",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013967",
"telephone_number": "724-430-1470",
"fax_number": "724-430-1472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANATOMICAL DESIGNS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2014-12-10",
"status": "A",
"authorized_official_last_name": "HIME",
"authorized_official_first_name": "SHANDON",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "724-430-1470",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP, FAAOP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE BC/BS",
"identifier": "001704953",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017554690001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED PLUS",
"identifier": "112893",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2429704",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6159011",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1567946",
"identifier": "BC/BS",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA",
"identifier": "97817",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMELINK",
"identifier": "P9094",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "97817",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "97817",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.