Organization Active NPI

Barth Orthotic and Prosthetic Services, P.C,

  • Prosthetic/Orthotic Supplier
  • Springfield, IL
National Provider Identifier
1578550307
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0008432043OtherILBLUE CROSS BLUE SHIELD IL
322465121001MedicaidIL
361442736001MedicaidIL
174655OtherILPERSONAL CARE

Other names 1

  • Hanger Clinic Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.