Economed of Aberdeen Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ECONOMED OF ABERDEEN INC

Doing business as

Orthotics & Prosthetics of Pinehurst

Practice address

95 Aviemore Dr
Ste a
Pinehurst, NC 28374-9797

Phone

(910) 295-4489

Fax

(910) 215-8035

NPI assigned

Jun 28, 2005

Last updated

Mar 19, 2019By 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

Mrs. Elease M. Goodwin

Title

Ceo

Phone

(910) 295-4489

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Orthotics & Prosthetics of Pinehurst Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Denise Caton, C.F.M

  • Orthotic Fitter
  • Pinehurst, NC
  • NPI 1942491402
  NPD (past)
• Bradley Carson Perry, CPED

  • Orthotic Fitter
  • Pinehurst, NC
  • NPI 1477867117
  NPD (past)
• Carson David Perry, C.O.

  • Specialist
  • Pinehurst, NC
  • NPI 1790976991
  NPD (past)
• Louis M Rocco, CP

  • Prosthetics Case Management
  • Pinehurst, NC
  • NPI 1255659983
  NPD (past)
• Michael A Rohrer, CP

  • Prosthetist
  • Pinehurst, NC
  • NPI 1558643015
  NPD (past)
• Rhonda Sue Spivey, CFM

  • Mastectomy Fitter
  • Pinehurst, NC
  • NPI 1417333014
  NPD (past)
• Kimberly Carol Wheeler, C.P.O.

  • Prosthetist
  • Pinehurst, NC
  • NPI 1316114523
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1497752026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 AVIEMORE DR",
            "address_2": "STE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4489",
            "fax_number": "910-215-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 AVIEMORE DR",
            "address_2": "STE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4489",
            "fax_number": "910-215-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMED OF ABERDEEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ELEASE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-295-4489",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700636",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "04977",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthotics & Prosthetics of Pinehurst",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthotics & Prosthetics of Pinehurst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Austin Dycus, PA-C
• Kirstie Earl
• Armani Easterling
• Kathleen Marie Eaton, M.D.
• Sara Marie Ebel, PA-C
• Edc Drug Stores Inc (Rite Aid Pharmacy 11515)
• Thomas Arthur Edgerton, M.D.
• Kimberly Edmister, LMFT
• Camron Keon Edrissi, MD
• Elton G. Edwards Jr.

• Prosthetic/Orthotic Supplier in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.