Organization Active NPI

Morgantown Orthotic & Prosthetic Center, Inc

  • Prosthetic/Orthotic Supplier
  • Oakland, MD
National Provider Identifier
1275083537
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC
Practice address
360 W Liberty St
Oakland, MD 21550-1237
Phone
(301) 533-4404
Fax
(304) 598-0527
NPI assigned
Oct 11, 2016
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Mark Gorman
Title
President
Phone
(304) 598-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

360 W Liberty St
Oakland, MD 21550-1237

Mailing address

7000 Hampton Ctr Ste a
Morgantown, WV 26505-1720
Phone (304) 598-0528

National Provider Directory

National Provider Directory

Locations

360 W Liberty St
Oakland, MD 21550
Phone (301) 533-4404

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1275083537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HAMPTON CTR STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051720",
            "telephone_number": "304-598-0528",
            "fax_number": "304-598-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W LIBERTY ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501237",
            "telephone_number": "301-533-4404",
            "fax_number": "304-598-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-598-0528"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.