NPIMap

Organization Active NPI

Anderson Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Greenville, SC
National Provider Identifier
1285890574
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
N/A Issued in SC
Legal business name
ANDERSON PROSTHETICS & ORTHOTICS LLC
Practice address
440 Roper Mt Rd
Suite G-2
Greenville, SC 29615-4242
Phone
(864) 676-0029
Fax
(864) 676-0039
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Mr. Michael Corcoran, CPO
Title
President/ Cpo
Phone
(301) 585-5347

Specialties & licenses 1

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

Addresses

Primary practice location

440 Roper Mt Rd
Suite G-2
Greenville, SC 29615-4242

Mailing address

1113 N Fant St
Anderson, SC 29621-4819
Phone (864) 225-1683

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1285890574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214819",
            "telephone_number": "864-225-1683",
            "fax_number": "864-231-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ROPER MT RD",
            "address_2": "SUITE G-2",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154242",
            "telephone_number": "864-676-0029",
            "fax_number": "864-676-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/ CPO",
        "authorized_official_telephone_number": "301-585-5347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.