Excel Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EXCEL PROSTHETICS & ORTHOTICS, INC.

Practice address

1700 Vineyard St
Bluefield, WV 24701-4025

Phone

(304) 323-2278

Fax

(304) 323-2846

NPI assigned

Oct 12, 2006

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 4

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dynamic Prosthetic & Orthotic, LLC

  dba Prosthetic And Orthotic Associates of Tennessee

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1669655999

  Member Of

  NPD member
• Hanger Prosthetics & Orthotics Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
  • NPI 1801120175

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1427147123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 VINEYARD ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014025",
            "telephone_number": "304-323-2278",
            "fax_number": "304-323-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427147123",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190198",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147037000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427147123",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Epperson
• Robert Alexander Ercoline Jr., MA, MS
• Walter Estep Jr.
• Montessa Esters
• Ethan Lafferty, DDS, PLLC
• Family Eye Health Care Clinic PLLC
• Sean Farmer
• Taryn Farmer
• Harvey J Feld, M.D. (RETIRED)
• Steve Ferris, PSYCHOLOGIST

• Prosthetic/Orthotic Supplier in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Prosthetic/Orthotic Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.