Active NPI
Samuel Mitchell, CO AND LO
- Orthotist
- Cincinnati, OH
National Provider Identifier
1245853126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- LO.00351
- Practice address
- 5820 Ridge Ave
Cincinnati, OH 45213 - Phone
- (513) 706-9098
- NPI assigned
- May 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | LO.00351 | OH | Primary |
Addresses
Primary practice location
5820 Ridge Ave
Cincinnati, OH 45213
Mailing address
5820 Ridge Ave
Cincinnati, OH 45213
Phone (513) 706-9098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LO.00351 | OH | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthotic Solutions LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1245853126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 RIDGE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45213",
"telephone_number": "513-706-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 RIDGE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45213",
"telephone_number": "513-706-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SAMUEL",
"credential": "CO AND LO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": "OH",
"license": "LO.00351",
"primary": true
}
],
"identifiers": [],
"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 23, 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.