Orthomedx Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

BUS0024240-001 Issued in FL

Legal business name

ORTHOMEDX CORPORATION

Practice address

4629 36TH St Ste 800
Orlando, FL 32811

Phone

(407) 422-4526

Fax

(407) 422-4556

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John A Fraley

Title

President/Owner

Phone

(407) 422-4526

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1245306992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 36TH ST STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116511",
            "telephone_number": "407-422-4526",
            "fax_number": "407-422-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 36TH ST STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-422-4526",
            "fax_number": "407-422-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4629 36th St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32811",
            "country_code": "US",
            "telephone_number": "407-422-4526",
            "fax_number": "407-422-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOMEDX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-422-4526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "BUS0024240-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "R8401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.