Orthotic Prosthetic Center, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC PROSTHETIC CENTER, INC

Doing business as

OPC East

Practice address

860 Ansonia St
Suite 3
Oregon, OH 43616

Phone

(419) 690-2653

Fax

(419) 690-2703

NPI assigned

May 20, 2015

Last updated

Oct 11, 2022By 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

Ann Marie Cole

Title

Owner

Phone

(419) 531-2222

Specialties & licenses 1

Addresses

Other names 1

• OPC East Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthotic Prosthetic Center, Inc

  dba Opc BG

  • Prosthetic/Orthotic Supplier
  • Bowling Green, OH
  • NPI 1063891273

  3577689181

  Same PAC ID
• Orthotic Prosthetic Center, Inc

  • Prosthetic/Orthotic Supplier
  • Toledo, OH
  • NPI 1174529937

  3577689181

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1366821571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N REYNOLDS ROAD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-531-2222",
            "fax_number": "419-531-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ANSONIA ST",
            "address_2": "SUITE 3",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-690-2653",
            "fax_number": "419-690-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-531-2222"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPC East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPC East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Management Resources Inc
• Sudhakar Naidu Pangulur, M.D.
• Rajiv Parinja
• Jennifer Kay Parkhurst, CNP
• Jerome Pasquale, PHARM.D.

• Prosthetic/Orthotic Supplier in Oregon, OH
• Providers in Oregon, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.