Integrated Ortho, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTEGRATED ORTHO, LLC

Practice address

970 W Broadway
408
Jackson, WY 83001-9475

Phone

(877) 398-9540

Fax

(307) 460-7020

NPI assigned

Jul 7, 2014

Last updated

Aug 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie Andersen

Title

Owner

Phone

(877) 398-9540

Specialties & licenses 1

Addresses

Tax ID family

Integrated Ortho LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Ortho, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1972015782
  NPD tax ID

Locations

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1265848691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 W BROADWAY",
            "address_2": "PO BOX 30,0002 #408",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019475",
            "telephone_number": "877-398-9540",
            "fax_number": "307-460-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W BROADWAY",
            "address_2": "408",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019475",
            "telephone_number": "877-398-9540",
            "fax_number": "307-460-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ORTHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-398-9540"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Jackson, WY
• Providers in Jackson, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.