Organization Active NPI

Ashland Prosthetic & Orthotic

  • Customized Equipment (DME)
  • Ashland, KY
National Provider Identifier
1386730554
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
BL200612 Issued in KY
Legal business name
ASHLAND PROSTHETIC & ORTHOTIC
Practice address
2816 Carter Ave
Ashland, KY 41101
Phone
(606) 324-5786
Fax
(606) 324-5876
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Mr. Ervin L Stepp, LPO
Title
Ceo Licensed Prosthetist/Orthotist
Phone
(606) 324-5786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X BL200612 KY Primary

Addresses

Primary practice location

2816 Carter Ave
Ashland, KY 41101

Mailing address

PO Box 510
Ashland, KY 41105-0510
Phone (606) 324-5786

Other identifiers 1

IdentifierTypeStateIssuer
90080102MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930026314 KY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 9234257692 Practice locations: Ashland, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Ashland Prosthetic & Orthotic Serv2816 Carter Ave, Ashland, KY 41101-1917(606) 324-5786 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2816 Carter Ave
Ashland, KY 41101
Phone (606) 324-5786

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1386730554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050510",
            "telephone_number": "606-324-5786",
            "fax_number": "606-324-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-324-5786",
            "fax_number": "606-324-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND PROSTHETIC & ORTHOTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "STEPP",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO LICENSED PROSTHETIST/ORTHOTIST",
        "authorized_official_telephone_number": "606-324-5786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "BL200612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90080102",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.