Gaitwell Orthotics and Pedorthics
Organization Active NPI Orthotist · Eaton, OH
NPI 1477523587 · NPPES record last updated Jun 19, 2020
Key facts
- NPI
- 1477523587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthotist 222Z00000X
- License
- LO144 (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
- Organization subpart
- No
Authorized official
- Name
- Michael D Veder, CO, CPED
- Title
- Owner
- Phone
- (937) 456-4800
National Provider Directory
Locations
200 Washington Jackson Rd
Ste V
Eaton, OH 45320
Phone (937) 456-4800
3041 Symmes Rd
Ste C
Hamilton, OH 45015
Phone (513) 829-2217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist |
222Z00000X | LO144 | OH | Yes |
Addresses
Primary practice location
200 Washington Jackson Rd
Ste V
Eaton, OH 45320-8627
Mailing address
1 Norh Commerce Park Drive
Suite 306
Cincinnati, OH 45215-3188
Phone (513) 829-2217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | OH | HUMANA |
| ========= | Other | OH | TRICARE |
| 0 | Other | OH | STRATOSE |
| ========= | Other | OH | HEALTHSPAN |
| 2389384 | Other | OH | BCMH MEDICAID |
| 2389384 | Medicaid | OH | |
| ========= | Other | OH | PPOM |
| 000000298877 | Other | OH | ANTHEM BLUE CROSS |
| 200509680A | Medicaid | IN | |
| ========= | Other | OH | CARESOURCE |
| 0 | Other | OH | HEALTHSMART NETWORK |
| ========= | Other | OH | MMO |
| A 146591 | Other | OH | MULTI PLAN |
| ========= | Other | OH | OH BWC |
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.