Cardinal Prosthetics & Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CARDINAL PROSTHETICS & ORTHOTICS LLC

Practice address

2654 Valley Ave
Suite D
Winchester, VA 22601-2661

Phone

(540) 722-9714

Fax

(540) 722-9719

NPI assigned

Jul 16, 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 Churchill I, CPO

Title

Owner

Phone

(540) 722-9714

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1467479352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 VALLEY AVE",
            "address_2": "SUITE D",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012661",
            "telephone_number": "540-722-9714",
            "fax_number": "540-722-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 VALLEY AVE",
            "address_2": "SUITE D",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012661",
            "telephone_number": "540-722-9714",
            "fax_number": "540-722-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-722-9714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008640",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012346300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010386128",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Capone, L.C.S.W.
• Patrick M Capone, MD
• Margaret Effat Capps
• Emily Carder, COTA/L
• Carina C Cardillo, PA-C
• Care Connect Healthcare
• Julie Carestio, DPT
• Careteam, LLC
• Jamie Carey
• Tamytha Marie Carey, RN

• Prosthetic/Orthotic Supplier in Winchester, VA
• Providers in Winchester, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.