Active NPI
Barth Orthotic and Prosthetic Services, P.C,
- Prosthetic/Orthotic Supplier
- Springfield, IL
National Provider Identifier
1578550307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BARTH ORTHOTIC AND PROSTHETIC SERVICES, P.C,
- Doing business as
- Hanger Clinic
- Practice address
- 355 W Carpenter St
Suite B
Springfield, IL 62702-4922 - Phone
- (217) 789-1450
- Fax
- (217) 789-1454
- NPI assigned
- Oct 6, 2005
- Organization subpart
- Yes
- Parent organization
- HANGER INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheryl S Price
- Title
- Director of Reimbursement
- Phone
- (503) 493-8288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
355 W Carpenter St
Suite B
Springfield, IL 62702-4922
Mailing address
355 W Carpenter St
Suite B
Springfield, IL 62702-4922
Phone (217) 789-1450
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008432043 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 322465121001 | Medicaid | IL | |
| 361442736001 | Medicaid | IL | |
| 174655 | Other | IL | PERSONAL CARE |
Other names 1
- Hanger Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374105600000",
"number": "1578550307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W CARPENTER ST",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024922",
"telephone_number": "217-789-1450",
"fax_number": "217-789-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W CARPENTER ST",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024922",
"telephone_number": "217-789-1450",
"fax_number": "217-789-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTH ORTHOTIC AND PROSTHETIC SERVICES, P.C,",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC.",
"enumeration_date": "2005-10-06",
"last_updated": "2013-07-18",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "503-493-8288",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "0008432043",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322465121001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "361442736001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "174655",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.