Ortheco LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHECO LLC

Practice address

4105 Union Rd
Saint Louis, MO 63129-1064

Phone

(217) 419-6075

Fax

(314) 461-1713

NPI assigned

Jul 17, 2019

Last updated

Apr 14, 2020By 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

Stephanie Dopplick

Title

Amputee Success Manager

Phone

(314) 492-0080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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).

• Ortheco LLC

  • Prosthetic/Orthotic Supplier
  • Springfield, IL
  • NPI 1245865245

  8820329790

  Same PAC ID
• Ortheco LLC

  • Prosthetic/Orthotic Supplier
  • Glendale Heights, IL
  • NPI 1841007101

  8820329790

  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

Tax ID family

Ortheco LLC2 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.

• Ortheco LLC

  • Prosthetic/Orthotic Supplier
  • Springfield, IL
  • NPI 1245865245
  NPD tax ID

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1386297679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291064",
            "telephone_number": "314-492-0080",
            "fax_number": "314-461-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291064",
            "telephone_number": "217-419-6075",
            "fax_number": "314-461-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHECO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "DOPPLICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AMPUTEE SUCCESS MANAGER",
        "authorized_official_telephone_number": "314-492-0080"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7763970001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Brinson Orr, MD
• Rachel C Orscheln, MD
• Crista Montgomery Ortbals, PSY.D.
• Dawn V Ortega, MED, MC
• Madison Ortega
• Ortho Missouri Surgery Center - St Louis LLC
• Orthocarern of Missouri, Inc.
• Orthomotion L.L.C.
• Orthopaedic & Sports Physical Therapy, Inc. (Telegraph Road Physical Therapy)
• Orthopedic & Sports Medicine Equipment & Supply L L C (OS Medical)

• Prosthetic/Orthotic Supplier in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.