Central PA Prosthetics/Orthotics, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PO000182 Issued in PA

Legal business name

CENTRAL PA PROSTHETICS/ORTHOTICS, INC

Practice address

173 S Market St
Elysburg, PA 17824-9757

Phone

(570) 672-4580

Fax

(570) 672-4581

NPI assigned

Feb 23, 2006

Organization subpart

Yes

Parent organization

CENTRAL PA PROSTHETICS/ORTHOTICS, INCAs reported in NPPES

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

Authorized official

Name

Mr. Howard C Stout, CP

Title

President/Owner

Phone

(570) 672-4580

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

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

Part of

Central PA Prostheticsorthotics Inc

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1447226287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 S MARKET ST",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178249757",
            "telephone_number": "570-672-4580",
            "fax_number": "570-672-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 S MARKET ST",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178249757",
            "telephone_number": "570-672-4580",
            "fax_number": "570-672-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA PROSTHETICS/ORTHOTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL PA PROSTHETICS/ORTHOTICS, INC",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "570-672-4580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PO000182",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2257250",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014697350002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "220529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "139892",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "39HA89",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Breskiewicz, DDS
• Susan Marie Brown, PHARMD
• Lacey Kay Bruner, PHARMD
• Douglas Scott Buffington, DO
• Central Lab LLC
• Rachel Chesney
• Michelle Chilinskas
• Rachel Susan Day, DO
• Huguette Marie-Patience Disasi, DPM
• Timothy G Doyle, MD

• Durable Medical Equipment & Medical Supplies in Elysburg, PA
• Providers in Elysburg, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.