NPIMap

Organization Active NPI

Medsource Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Phoenix, AZ
National Provider Identifier
1386786614
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MEDSOURCE ORTHOTICS & PROSTHETICS, INC
Doing business as
Hamilton Prosthetics
Practice address
3636 N 3Rd Ave
Suite 100
Phoenix, AZ 85013-3904
Phone
(602) 395-3354
Fax
(602) 395-3361
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
David Charles
Title
President
Phone
(801) 890-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3636 N 3Rd Ave
Suite 100
Phoenix, AZ 85013-3904

Mailing address

3636 N 3Rd Ave
Suite 100
Phoenix, AZ 85013-3904
Phone (602) 395-3354

Other names 1

  • Hamilton Prosthetics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1386786614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 3RD AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133904",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 3RD AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133904",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-890-6824"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.