Organization Active NPI

Orthocare Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Manchester, NH
National Provider Identifier
1467563189
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
03125 Issued in NH
Legal business name
ORTHOCARE MEDICAL EQUIPMENT, LLC
Practice address
700 Lake Ave
Suite 6
Manchester, NH 03103-2734
Phone
(603) 668-6688
Fax
(603) 668-6689
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Kerriann Catlaw, PHD, ATC, CFO
Title
Ceo
Phone
(603) 668-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03125 NH Primary

Addresses

Primary practice location

700 Lake Ave
Suite 6
Manchester, NH 03103-2734

Mailing address

700 Lake Ave
Suite 6
Manchester, NH 03103-2734
Phone (603) 668-6688

Other identifiers 1

IdentifierTypeStateIssuer
30763824MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930074425 NH DME Supplier - Medical Supply Company 6608904446 Practice locations: Manchester, NH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Orthocare Medical Equipment LLC700 Lake Ave, Manchester, NH 03103-2734(603) 668-6688 Commodes, Urinals, Bedpans|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jun 27, 2005

National Provider Directory

National Provider Directory
Tax ID family
Orthocare Medical Equipment LLC2 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.

Locations

700 Lake Ave
Ste 6
Manchester, NH 03103
Phone (603) 668-6688

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1467563189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "SUITE 6",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-668-6688",
            "fax_number": "603-668-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "SUITE 6",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-668-6688",
            "fax_number": "603-668-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCARE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "CATLAW",
        "authorized_official_first_name": "KERRIANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-668-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ATC, CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NH",
            "license": "03125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30763824",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.