Active NPI
Orthomed Inc
- Prosthetic/Orthotic Supplier
- Rochester, NY
National Provider Identifier
1558479816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHOMED INC
- Practice address
- 185 Shoreham Dr
Rochester, NY 14618 - Phone
- (585) 234-4655
- Fax
- (585) 442-8924
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karla L Emmens
- Title
- Owner
- Phone
- (585) 234-4655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
185 Shoreham Dr
Rochester, NY 14618
Mailing address
185 Shoreham Dr
Rochester, NY 14618
Phone (585) 234-4655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003561 | NY | DME Supplier - Sports Medicine | 7113048695 | Practice locations: Rochester, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558479816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SHOREHAM DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-234-4655",
"fax_number": "585-442-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SHOREHAM DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-234-4655",
"fax_number": "585-442-8924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOMED INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EMMENS",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-234-4655",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.