Mid Atlantic Prosthetics and Orthotics North

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

10-999999-99 Issued in DE

Legal business name

MID ATLANTIC PROSTHETICS AND ORTHOTICS NORTH

Practice address

2604 Kirkwood Hwy
Suite C
Wilmington, DE 19805-4910

Phone

(302) 824-2360

Fax

(302) 691-7302

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian Smith, BOCCPO

Title

Certified Prosthetist Orthotist

Phone

(302) 824-2360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1437450293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 KIRKWOOD HWY",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054910",
            "telephone_number": "302-824-2360",
            "fax_number": "302-691-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 KIRKWOOD HWY",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054910",
            "telephone_number": "302-824-2360",
            "fax_number": "302-691-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PROSTHETICS AND ORTHOTICS NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST ORTHOTIST",
        "authorized_official_telephone_number": "302-824-2360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "10-999999-99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria W. Michell, D.O.
• Theodore W. Michell, D.O.
• Michelle C. Johnson L.C.S.W.
• Laura Michelli
• Michael Michelli, AU.D.
• Mid Atlantic Surgical LLC
• Mid-Atlantic Dental Partners Delaware II Professional Associates
• Mid-Atlantic Dental Partners Delaware Professional Association
• Mid-Atlantic Pain Institute, P.a.
• Mid-Atlantic Surgical Practice

• All providers in Wilmington, DE
• Prosthetic/Orthotic Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.