NPIMap

Organization Active NPI

Eastpoint Prosthetics & Orthotics, Inc.

  • Customized Equipment (DME)
  • Raleigh, NC
National Provider Identifier
1528316239
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Practice address
8300 Health Park Ste 131
Raleigh, NC 27615
Phone
(919) 844-7897
Fax
(919) 844-7898
NPI assigned
Aug 28, 2012
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Mr. Mitchel P Sugg, CPO, C.PED, FAAOPNPI 1003964867
Title
President
Phone
(252) 522-3278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X NC Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

8300 Health Park Ste 131
Raleigh, NC 27615

Mailing address

8300 Health Park Ste 131
Raleigh, NC 27615-4731
Phone (919) 844-7897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000520 NC DME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Orthotic Personnel 5294934063 Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Eastpoint Prosthetics Orthotics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8300 Health Park
Ste 131
Raleigh, NC 27615
Phone (919) 844-7897

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1528316239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-844-7897",
            "fax_number": "919-844-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-844-7897",
            "fax_number": "919-844-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINT PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "SUGG",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-522-3278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, C.PED, FAAOP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.