Advanced Prosthetics of Seneca, Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Anderson, SC
NPI 1245585652 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1245585652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ADVANCED PROSTHETICS OF SENECA, INC
- Practice address
- 703 N Fant St Ste a
Anderson, SC 29621-5705 - Phone
- (864) 622-0900
- Fax
- (864) 622-0585
- NPI assigned
- Jul 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Carol Baker
- Title
- Dir. of HR
- Phone
- (864) 622-0900
Practitioners 8
-
Jeffrey Broadwell, CPO
-
Robert Andrew Finley, COA
-
Cody Fuller, CPO
-
Joseph Jones, CPO
-
James A Williamson, CPOA
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Prosthetics of Seneca, Inc |
Pneumatic Compression Devices and/or Supplies|Traction Equipment|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130118000135 | SC | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 5890998181 | Practice locations: Anderson, SC |
National Provider Directory
Locations
703 N Fant St
Anderson, SC 29621
Phone (864) 225-5059
1107 N Fant St
Anderson, SC 29621
Phone (864) 622-0900
703 N Fant St
#A
Anderson, SC 29621
Phone (864) 622-0900
115 Bountyland Rd
Ste F
Seneca, SC 29672
Phone (864) 886-8952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | SC | Yes |
Addresses
Primary practice location
703 N Fant St Ste a
Anderson, SC 29621-5705
Mailing address
703 N Fant St Ste a
Anderson, SC 29621-5705
Phone (864) 622-0900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3525 | Medicaid | SC |
Other providers in Anderson, SC
- Katherine Camille Adank
- Kaylee Addison
- Advanced Hearing Solutions, LLC
- Advanced Institute for Metabolic Disorders, Endocrinology and Diabetes
- Advanced Physical Therapy,LLC
- Aegis Group Practice LLC
- Aegis Group Practice LLC
- Affordable Denture - Anderson, P. C.
- Affordable Dentures & Implants - Anderson, P.C.
- Agape Community Hospice of Anderson, Inc.
All providers in Anderson, SC · Prosthetic/Orthotic Supplier in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.