Organization Active NPI

Northern Orthotics and Prosthetic Services Corporation

Doing business as Northern Orthotic and Prosthetic Center

  • Prosthetic/Orthotic Supplier
  • Wausau, WI
National Provider Identifier
1619302163
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORTHERN ORTHOTICS AND PROSTHETIC SERVICES CORPORATION
Doing business as
Northern Orthotic and Prosthetic Center
Practice address
2724 Stewart Ave
Wausau, WI 54401-4153
Phone
(715) 298-4490
Fax
(715) 298-4492
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Mr. Gregory J Francisco, BS,CO
Title
Orthotist, Owner
Phone
(218) 249-6250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X WI
Prosthetic/Orthotic Supplier 335E00000X WI Primary

Addresses

Primary practice location

2724 Stewart Ave
Wausau, WI 54401-4153

Mailing address

8501 Falcon St
Duluth, MN 55808-1533
Phone (218) 249-6250

Other names 1

  • Northern Orthotic and Prosthetic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Orthotic and Prosthetic Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2724 Stewart Ave
Wausau, WI 54401
Phone (715) 298-4490

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1619302163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 FALCON ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558081533",
            "telephone_number": "218-249-6250",
            "fax_number": "218-249-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014153",
            "telephone_number": "715-298-4490",
            "fax_number": "715-298-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ORTHOTICS AND PROSTHETIC SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORTHOTIST, OWNER",
        "authorized_official_telephone_number": "218-249-6250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS,CO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Orthotic and Prosthetic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.