Active NPI
Roanoke Orthopedic Appliance Co Inc
- Durable Medical Equipment & Medical Supplies
- Roanoke, VA
National Provider Identifier
1336286392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0925
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260295 | Other | VA | ANTHEM BC & BS |
National Provider Directory
National Provider DirectoryLocations
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.