Gaitwell Orthotics and Pedorthics

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

LO144 Issued in OH

Legal business name

GAITWELL ORTHOTICS AND PEDORTHICS

Practice address

200 Washington Jackson Rd
Ste V
Eaton, OH 45320-8627

Phone

(937) 456-4800

Fax

(513) 889-1850

NPI assigned

Jan 23, 2006

Last updated

Jun 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael D Veder, CO, CPED

Title

Owner

Phone

(937) 456-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1477523587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORH COMMERCE PARK DRIVE",
            "address_2": "SUITE 306",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153188",
            "telephone_number": "513-829-2217",
            "fax_number": "513-889-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON JACKSON RD",
            "address_2": "STE V",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208627",
            "telephone_number": "937-456-4800",
            "fax_number": "513-889-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITWELL ORTHOTICS AND PEDORTHICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "VEDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-456-4800",
        "authorized_official_credential": "CO, CPED"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LO144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthotist in Eaton, OH
• Providers in Eaton, OH by specialty
• Orthotist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.