Orthotic & Prosthetic Specialties, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC & PROSTHETIC SPECIALTIES, INC.

Practice address

20650 Lakeland Blvd
Euclid, OH 44119-3241

Phone

(216) 531-2773

Fax

(216) 531-5376

NPI assigned

Jan 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard D Gaudio

Title

President

Phone

(216) 531-2773

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Orthotic Specialties, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

Orthotic Prosthetic Spec2 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.

• Orthotic & Prosthetic Specialties, Inc.

  • Prosthetic/Orthotic Supplier
  • Cleveland, OH
  • NPI 1427114362
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn Frilling, MS, ATC

  • Athletic Trainer
  • Euclid, OH
  • NPI 1942752274
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1407834369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20650 LAKELAND BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441193241",
            "telephone_number": "216-531-2773",
            "fax_number": "216-531-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20650 LAKELAND BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441193241",
            "telephone_number": "216-531-2773",
            "fax_number": "216-531-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC & PROSTHETIC SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "GAUDIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-531-2773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18961",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8200099",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthotic Specialties, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Euclid, OH
• Providers in Euclid, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.