Shields Orthotic Prosthetic Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SHIELDS ORTHOTIC PROSTHETIC SERVICES, INC.

Doing business as

Hanger Clinic

Practice address

5687 Harrison Blvd
South Ogden, UT 84403-4322

Phone

(801) 475-4428

Fax

(801) 475-0427

NPI assigned

May 9, 2006

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

Ms. Sheryl S Price

Title

Director of Reimbursement

Phone

(503) 493-8288

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hanger Clinic Doing business as

Member of 1

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

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1629027560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092818",
            "telephone_number": "801-467-5483",
            "fax_number": "801-484-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5687 HARRISON BLVD",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034322",
            "telephone_number": "801-475-4428",
            "fax_number": "801-475-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS ORTHOTIC PROSTHETIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-10-17",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107893300",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002961100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Shaw, RBT
• Shelby Pitts FNP PLLC
• Rachel Elizabeth Shelley, MSW, CSW
• Candace Shepherd, RBT
• Olivia Sheppick, RBT
• Staci Shoell
• Troy Thomas Shore, LCSW
• Simple Beginnings LLC
• Skyline Chiropractic
• Micah Slack

• Prosthetic/Orthotic Supplier in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.