East Texas Prosthetic-Orthotic Care

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

000020 Issued in TX

Legal business name

EAST TEXAS PROSTHETIC-ORTHOTIC CARE

Practice address

812 N 4TH St
Longview, TX 75601-5413

Phone

(903) 236-4488

Fax

(903) 236-4607

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert M. Wright III, C.P.O.NPI 1912982778

Title

President/Ceo

Phone

(903) 236-4488

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Wright III, C.P.O.

  • Prosthetist
  • Longview, TX
  • NPI 1912982778

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1508048984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015413",
            "telephone_number": "903-236-4488",
            "fax_number": "903-236-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015413",
            "telephone_number": "903-236-4488",
            "fax_number": "903-236-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS PROSTHETIC-ORTHOTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "903-236-4488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "000020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "519698",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010236001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Oral & Maxillofacial Surgery Associates Inc.
• East Texas Performance Rehabilitation Inc
• East Texas PHC, LLC (Premier HomeCare)
• East Texas Plastic Surgery LLP
• East Texas Primary Care Physicians, PLLC (Primary Care Associates)
• East Texas Psychiatry Associates
• East Texas Pulmonary Associates of Longview, PLLC (East Texas Pulmonary Associates)
• East Texas Radiology Consultants
• East Texas Rehabilitation, LLC
• East Texas Sinus and Dizziness Center, PLLC

• Prosthetic/Orthotic Supplier in Longview, TX
• Providers in Longview, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.