Active NPI
Ashland Prosthetic & Orthotic
- Customized Equipment (DME)
- Ashland, KY
National Provider Identifier
1386730554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- BL200612
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90080102 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930026314 | KY | DME Supplier - Prosthetic Personnel | 9234257692 | Practice locations: Ashland, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ashland Prosthetic & Orthotic Serv | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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
- Ashland Orthopedic Associates, P.S.C.
- Ashland Physiatry & Pain Management
- Ashland Plastic Surgery Inc PSC
- Ashland Primary Care PSC
- Ashland Professional Counseling, LLC
- Ashland Psychiatry Associates, PSC
- Ashland Radiation Oncology, PSC
- Ashland Radiology Associates PSC
- Ashland Urology P S C
- Ashland Women'S Care
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.