Eastern Shore Orthotics &

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EASTERN SHORE ORTHOTICS &

Practice address

2504 Dauphin St
Suite M
Mobile, AL 36606-1956

Phone

(251) 471-0071

Fax

(251) 471-1951

NPI assigned

Oct 3, 2006

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 3

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
  • NPI 1801120175

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1619061801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "address_2": "SUITE M",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 DAUPHIN ST",
            "address_2": "SUITE M",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061956",
            "telephone_number": "251-471-0071",
            "fax_number": "251-471-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE ORTHOTICS &",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl D Rogers DMD PC
• Necole Earl
• William Gerard Eastburn, DMD
• James Kenneth Easter, R.PH., MBA, FASCP
• James Kenneth Easter III, DNAP, CRNA
• Joyce Eastman, RBT
• Kareaion McDaniels Eaton, PT, DPT
• Lena Wilson Eaton, ALC
• Robert Layne Eaton, ACNPC-AG
• Rebecca Marie Eberle, PA

• Prosthetic/Orthotic Supplier in Mobile, AL
• Providers in Mobile, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.