Roadrunner Prosthetics Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ROADRUNNER PROSTHETICS INC.

Practice address

42212 N 41St Dr Ste 105
Anthem, AZ 85086-3815

Phone

(623) 352-4520

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Mackinley Spencer Burrell, C.P.NPI 1376217141

Title

Prosthetist

Phone

(512) 922-4620

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackinley Spencer Burrell, CP

  • Prosthetist
  • Anthem, AZ
  • NPI 1376217141
  NPD Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1285330696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42212 N 41ST DR STE 105",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863815",
            "telephone_number": "623-352-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42212 N 41ST DR STE 105",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863815",
            "telephone_number": "623-352-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER PROSTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "MACKINLEY",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "512-922-4620",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Michelle Relkin, LPC
• Respiratory & Sleep Solutions, LLC
• Alison Michael Rhodes, FNP(S)
• Richard Lee Averitte Jr., PLLC
• Evelyn Grace Richins
• Deborah L Robson
• Irene Roman-Szopinski, RN
• Romans Orthodontics PLLC
• Mark Richard Romens
• Robert Rosenbaum

• Prosthetic/Orthotic Supplier in Anthem, AZ
• Providers in Anthem, 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 Dec 21, 2023; 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.