Organization Active NPI

Roanoke Orthopedic Appliance Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Roanoke, VA
National Provider Identifier
1336286392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0925 Issued in VA
Legal business name
ROANOKE ORTHOPEDIC APPLIANCE CO INC
Practice address
1105 Piedmont St SE
Roanoke, VA 24014
Phone
(540) 427-3088
Fax
(540) 427-5942
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Motley O Bryan, SURGICAL APPLIANCE T
Title
VP Sec
Phone
(540) 427-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0925 VA Primary

Addresses

Primary practice location

1105 Piedmont St SE
Roanoke, VA 24014

Mailing address

1105 Piedmont St SE
Roanoke, VA 24014
Phone (540) 427-3088

Other identifiers 1

IdentifierTypeStateIssuer
260295OtherVAANTHEM BC & BS

National Provider Directory

National Provider Directory

Locations

1105 Piedmont St SE
Roanoke, VA 24014
Phone (540) 427-3088

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336286392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 PIEDMONT ST SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-427-3088",
            "fax_number": "540-427-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PIEDMONT ST SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-427-3088",
            "fax_number": "540-427-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE ORTHOPEDIC APPLIANCE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O BRYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MOTLEY",
        "authorized_official_title_or_position": "VP SEC",
        "authorized_official_telephone_number": "540-427-3088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SURGICAL APPLIANCE T"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "260295",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.