Active NPI
Scott-Larson LLC
Doing business as Hanger Clinic
- Prosthetic/Orthotic Supplier
- Springfield, MO
National Provider Identifier
1497701338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SCOTT-LARSON LLC
- Doing business as
- Hanger Clinic
- Practice address
- 1837 E Kirkwood St Ste 101
Springfield, MO 65804-2578 - Phone
- (417) 755-7430
- Fax
- (877) 305-8172
- NPI assigned
- May 25, 2006
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Provider Contract Analyst III
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1837 E Kirkwood St Ste 101
Springfield, MO 65804-2578
Mailing address
P O Box 650846
Dallas, TX 75265-0846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622556702 | Medicaid | MO |
Other names 1
- Hanger Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930089182 | MO | DME Supplier - Orthotic Personnel | 1052438710 | Practice locations: Springfield, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hanger Clinic | Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1659443380
Member Of
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- South Bend, IN
- NPI 1548252851
Member Of
Locations
1246 E Walnut Lawn St
Springfield, MO 65804
Phone (417) 719-7862
1837 E Kirkwood St
Ste 101
Springfield, MO 65804
Phone (417) 755-7430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1497701338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 650846",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1837 E KIRKWOOD ST STE 101",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042578",
"telephone_number": "417-755-7430",
"fax_number": "877-305-8172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT-LARSON LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2006-05-25",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "ANGELINE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "PROVIDER CONTRACT ANALYST III",
"authorized_official_telephone_number": "714-961-2102"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "622556702",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.