Active NPI
Eva Ofcharsky
- Prosthetic/Orthotic Supplier
- Edwardsville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- EVA OFCHARSKY
- Practice address
- 108 Gateway Shopping Ctr
Edwardsville, PA 18704-4403 - Phone
- (570) 288-6688
- NPI assigned
- Dec 13, 2007
- 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
- Ms. Eva Ofcharsky
- Title
- Owner
- Phone
- (570) 288-6688
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
108 Gateway Shopping Ctr
Edwardsville, PA 18704-4403
Mailing address
108 Gateway Shopping Ctr
Edwardsville, PA 18704-4403
Phone (570) 288-6688
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243975 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017997680001 | Medicaid | PA | |
| 814243 | Other | PA | FIRST PRIORITY |
Other names 1
- That Special Woman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031708 | PA | DME Supplier - Medical Supply Company | 7517079288 | Practice locations: Edwardsville, PA |
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 |
|---|---|---|
| That Special Woman | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
108 Gateway Shopping Ctr
Kingston, PA 18704
Phone (570) 288-6688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Kingston, PA
- NPI 1528095825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704153600000",
"number": "1396928339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 GATEWAY SHOPPING CTR",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187044403",
"telephone_number": "570-288-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 GATEWAY SHOPPING CTR",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187044403",
"telephone_number": "570-288-6688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVA OFCHARSKY",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A",
"authorized_official_last_name": "OFCHARSKY",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-288-6688",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "243975",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017997680001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "814243",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "That Special Woman",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edwardsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.