Enduracare Orthotic and Prosthetic Services, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6000007742 Issued in PA

Legal business name

ENDURACARE ORTHOTIC AND PROSTHETIC SERVICES, LLC

Practice address

110 Daniel Dr
Suite 6
Uniontown, PA 15401-8002

Phone

(724) 438-7900

Fax

(724) 438-7903

NPI assigned

Jan 27, 2011

Last updated

Nov 16, 2019By 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

Michael Paul Serenari, C.O., B.O.C.O.NPI 1285781484

Title

President Ceo

Phone

(724) 350-0457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Paul Serenari, C.O., B.O.C.O.

  • Orthotist
  • Belle Vernon, PA
  • NPI 1285781484
  Authorized official Same address or phone

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573862400000",
    "number": "1326344128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "address_2": "SUITE 102",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-930-8544",
            "fax_number": "724-930-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DANIEL DR",
            "address_2": "SUITE 6",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018002",
            "telephone_number": "724-438-7900",
            "fax_number": "724-438-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURACARE ORTHOTIC AND PROSTHETIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2019-11-16",
        "status": "A",
        "authorized_official_last_name": "SERENARI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "724-350-0457",
        "authorized_official_credential": "C.O., B.O.C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.