Whiteside Orthotic and Prosthetic Group, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LO-151 Issued in OH

Legal business name

WHITESIDE ORTHOTIC AND PROSTHETIC GROUP, INC.

Practice address

8571 Foxwood CT
Youngstown, OH 44514-4313

Phone

(330) 360-0900

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Joseph William Whiteside, C.O.

Title

President / Clinical Director

Phone

(330) 360-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1255676342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 OLDE WINTER TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142893",
            "telephone_number": "330-360-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 FOXWOOD CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445144313",
            "telephone_number": "330-360-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESIDE ORTHOTIC AND PROSTHETIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "330-360-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LO-151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lee White
• Stephanie White
• Zachary A White, CDCA
• Courtney Whiteman, DO
• Ryan M Whiteman
• Betty Whitfield
• Chrishyra Whitfield
• Jeremy C Whitfield
• Deborah Whitman
• Zanayia Whitman

• Prosthetic/Orthotic Supplier in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.

Verify at the official NPI Registry.