Medsource Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDSOURCE ORTHOTICS & PROSTHETICS

Doing business as

Hamilton Prosthetic Center

Practice address

9305 W. Thomas Rd
Suite 150
Phoenix, AZ 85037

Phone

(623) 738-0301

Fax

(602) 395-3361

NPI assigned

Nov 14, 2006

Organization subpart

Yes

Parent organization

MEDSOURCE ORTHOTICS & PROSTHETICSAs reported in NPPES

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

Authorized official

Name

David Charles

Title

President

Phone

(801) 255-5202

Specialties & licenses 1

Addresses

Other names 1

• Hamilton Prosthetic Center Doing business as

Part of

Medsource Orthotics Prosthetics

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1275605461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 3RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133938",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W. THOMAS RD",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "623-738-0301",
            "fax_number": "602-395-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSOURCE ORTHOTICS & PROSTHETICS",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-255-5202"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Prosthetic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton Prosthetic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medpro Billing Solutions, LLC
• Noemy Medrano, LMT
• Medscope Laboratories,LLC
• Medscope LLC
• Medsite Medical Services
• Medsource Orthotics & Prosthetics, Inc
• Medstaffpc
• Medtrans Services LLC
• Medura Home Care LLC
• Sarah Medved

• Prosthetic/Orthotic Supplier in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.