Metro Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

METRO PROSTHETICS, INC.

Practice address

7438 Annapolis Rd
Landover Hills, MD 20784-2314

Phone

(301) 459-0999

Fax

(301) 731-4308

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Pete Goller, C.P.

Title

President

Phone

(301) 459-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Metro Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Nottingham, MD
  • NPI 1316216393

  8921125022

  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

Metro 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.

• Metro Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Nottingham, MD
  • NPI 1316216393
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Metro Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Nottingham, MD
  • NPI 1316216393
  NPPES parent name

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1386646263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842314",
            "telephone_number": "301-459-0999",
            "fax_number": "301-731-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842314",
            "telephone_number": "301-459-0999",
            "fax_number": "301-731-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "GOLLER",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-459-0999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708780",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Plewes Kotwas, MSW
• Jacqueline Lubovich, LCSW-C
• Gabrielle Magne Fonkam
• Mary T Mbai
• Palagie Mbognou Pamewa
• Mary B Mitchell, LCSWC
• Isaac Eromosele Moses
• Joan Meghen Motangu
• Chantale Mutagha Epse Tezock
• N5 Therapy and Wellness Solutions

• Prosthetic/Orthotic Supplier in Landover Hills, MD
• Providers in Landover Hills, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.