Active NPI
Suncoast Orthotics and Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Venice, FL
National Provider Identifier
1265599054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SUNCOAST ORTHOTICS AND PROSTHETICS, INC.
- Practice address
- 200 Tamiami TRL N Ste I
Venice, FL 34285-1914 - Phone
- (941) 484-2451
- Fax
- (941) 485-2038
- NPI assigned
- Jan 2, 2007
- Last updated
- Dec 12, 2013
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheryl S Price
- Title
- Director of Reimbursement
- Phone
- (503) 493-8288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
200 Tamiami TRL N Ste I
Venice, FL 34285-1914
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Phone (941) 484-2451
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201645 | Other | PA | BLUE CROSS & BLUE SHIELD |
| M0511 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 50665 | Other | AMERICAN BENEFIT | |
| 213266 | Other | FL | AMERIGROUP |
| 50666 | Other | NORTHWOOD NPN | |
| 027717700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Waldorf, MD
- NPI 1801120175
Member Of
Locations
200 Tamiami Trl N
Ste I
Venice, FL 34285
Phone (941) 484-2451
200 Tamiami Trl N
Unit 1
Venice, FL 34285
Phone (941) 365-7588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386806400000",
"number": "1265599054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650846",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650846",
"telephone_number": "941-484-2451",
"fax_number": "941-485-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TAMIAMI TRL N STE I",
"city": "VENICE",
"state": "FL",
"postal_code": "342851914",
"telephone_number": "941-484-2451",
"fax_number": "941-485-2038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST ORTHOTICS AND PROSTHETICS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2007-01-02",
"last_updated": "2013-12-12",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "503-493-8288",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "201645",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "M0511",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BENEFIT",
"identifier": "50665",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "213266",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD NPN",
"identifier": "50666",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027717700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
- Summerville at Venice, LLC (Emeritus at Venice)
- Sun Medical Supply, Inc.
- Suncoast Eyehealth P.a.
- Suncoast Oral Surgery & Periodontics
- Suncoast Orthopaedic Surgery & Sports Medicine, P.a.
- Suncoast Pathology
- Suncoast Pelvic Therapy & Wellness, PLLC
- Suncoast Trim Clinic, LLC
- Sunline Transportation LLC
- Sunset Lake Healthcare and Rehabilitation Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.