Spectrum Orthotics and Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM ORTHOTICS AND PROSTHETICS, INC

Practice address

2231 N Eldorado Ave
Klamath Falls, OR 97601-6417

Phone

(541) 844-5348

Fax

(541) 844-1203

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Forest Ray Sexton, CPO

Title

President

Phone

(541) 955-9678

Specialties & licenses 1

Addresses

Tax ID family

Spectrum Orthotics and Prosthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spectrum Orthotics & Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Medford, OR
  • NPI 1942235445
  NPD tax ID

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366540569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046242",
            "telephone_number": "541-734-2435",
            "fax_number": "541-734-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N ELDORADO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016417",
            "telephone_number": "541-844-5348",
            "fax_number": "541-844-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ORTHOTICS AND PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-955-9678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Emergency Care LLC
• David John Sowers
• Shaun C Spalding, MD
• Jennifer Dawn Sparks, O.D.
• Lisa Marie Sparks, BRS CASE MANAGER
• Wendy Jean Spencer, DMD
• Jonathan Michael Spicher, M.D.
• Amanda Spillane
• Vanessa Spillane, LPN
• Diana Michelle Spindor

• Prosthetic/Orthotic Supplier in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• 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.