Guilford Orthotic & Prosthetic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GUILFORD ORTHOTIC & PROSTHETIC, INC.

Practice address

405 Parkway
Suite G
Greensboro, NC 27401-1657

Phone

(336) 676-5394

Fax

(336) 676-5395

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By 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

Mr. Randy JohnsonNPI 1629247317

Title

Owner

Phone

(336) 676-5394

Specialties & licenses 1

Addresses

Locations

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.

• Randy Johnson

  • Prosthetic/Orthotic Supplier
  • Greensboro, NC
  • NPI 1629247317
  NPD (past) Authorized official

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1548661127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PARKWAY DR",
            "address_2": "SUITE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011308",
            "telephone_number": "336-676-5394",
            "fax_number": "336-676-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PARKWAY",
            "address_2": "SUITE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011657",
            "telephone_number": "336-676-5394",
            "fax_number": "336-676-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD ORTHOTIC & PROSTHETIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-676-5394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guilford Medical Associates PA
• Guilford Medical Center, PA
• Guilford Medical Supply, Inc.
• Guilford Neurologic Associates, Inc.
• Guilford Operator LLC (Guilford Health Care Center)
• Guilford Pain Management,PA
• Guilford- Neighbor to Family, Inc
• Carolyn Rogers Guilloud, M.D.
• Janet Guin
• Lori Gulla, M.S.

• Prosthetic/Orthotic Supplier in Greensboro, NC
• Providers in Greensboro, 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 Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.