Stellar Prosthetics, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CP2557 Issued in PA

Legal business name

STELLAR PROSTHETICS, INC

Practice address

55 Buck Rd
Huntingdon Valley, PA 19006-1501

Phone

(215) 364-5727

NPI assigned

Aug 14, 2007

Last updated

Mar 19, 2008By 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

Mr. Walter Whalen, PROSTHETIC PRACTICE

Title

Prosthetist

Phone

(215) 364-5727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1285826222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BUCK RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061501",
            "telephone_number": "215-364-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BUCK RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061501",
            "telephone_number": "215-364-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "215-364-5727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROSTHETIC PRACTICE"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "CP2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.