Organization Active NPI

Select Orthopedic Supply

  • Prosthetic/Orthotic Supplier
  • Richland, MI
National Provider Identifier
1295085181
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPED3724 Issued in MI
Legal business name
SELECT ORTHOPEDIC SUPPLY
Practice address
8589 Gull Rd, Ste 2
Richland, MI 49083
Phone
(269) 629-4853
Fax
(269) 629-5085
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mr. Zachary Matthew Ostrowski, C-PEDNPI 1881955078
Title
Certified Pedorthist/ Owner
Phone
(269) 629-4853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CPED3724 MI Primary

Addresses

Primary practice location

8589 Gull Rd, Ste 2
Richland, MI 49083

Mailing address

8589 Gull Rd, Ste 2
Richland, MI 49083
Phone (269) 629-4853

National Provider Directory

National Provider Directory

Locations

8589 Gull Rd
Ste 2
Richland, MI 49083
Phone (269) 629-4853

Practitioners & affiliated clinicians

Practitioners 1

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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1295085181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8589 GULL RD, STE 2",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "49083",
            "telephone_number": "269-629-4853",
            "fax_number": "269-629-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8589 GULL RD, STE 2",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "49083",
            "telephone_number": "269-629-4853",
            "fax_number": "269-629-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT ORTHOPEDIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "OSTROWSKI",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CERTIFIED PEDORTHIST/ OWNER",
        "authorized_official_telephone_number": "269-629-4853",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "CPED3724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.