Williamsport Orthopedic & Prosthetic Company Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WILLIAMSPORT ORTHOPEDIC & PROSTHETIC COMPANY INC

Practice address

251 Penn St Ste 1
Williamsport, PA 17701-5310

Phone

(570) 322-5277

Fax

(570) 322-1289

NPI assigned

May 31, 2005

Organization subpart

No

Name

Kathleen Borgess, BOC-O

Title

President

Phone

(570) 322-5277

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2023.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1245233642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 PENN ST STE 1",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015310",
            "telephone_number": "570-322-5277",
            "fax_number": "570-322-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 PENN ST STE 1",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015310",
            "telephone_number": "570-322-5277",
            "fax_number": "570-322-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSPORT ORTHOPEDIC & PROSTHETIC COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "BORGESS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-322-5277",
        "authorized_official_credential": "BOC-O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "000282784",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005734430001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "37618",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "814220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williamsport Family Medical Center, LLC
• Williamsport Home
• Williamsport North Operations LLC
• Williamsport North SNF Operations LLC
• Williamsport Obstetrics & Gynecology, P.C.
• Williamsport Pathology Assocs.
• Williamsport Physical Medicine, Inc.
• Williamsport Physical Medicine, Inc.
• Williamsport Physical Medicine, Inc.
• Williamsport Physical Medicine, Inc.

• All providers in Williamsport, PA
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.