Admyrher Extentions

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADMYRHER EXTENTIONS

Practice address

27970 Chagrin Blvd Ste W222
Woodmere, OH 44122-4461

Phone

(216) 952-9083

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Miss Tamela Watters

Title

Owner

Phone

(216) 952-9083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1558049205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 TURNEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441253972",
            "telephone_number": "216-952-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27970 CHAGRIN BLVD STE W222",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224461",
            "telephone_number": "216-952-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMYRHER EXTENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-952-9083",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.