Michael G Bissell, CPO, FAAOP

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CP001225 Issued in NC

Practice address

3680 Westgate Center Circle
Winston Salem, NC 27103-2935

Phone

(336) 768-1933

Fax

(336) 768-4869

NPI assigned

Oct 12, 2005

Last updated

Aug 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hanger Prosthetics & Orthotics East Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Winston Salem, NC
  • NPI 1265420335

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1639167620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SAINT LEOS STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053382",
            "telephone_number": "336-621-9500",
            "fax_number": "336-621-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WESTGATE CENTER CIRCLE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032935",
            "telephone_number": "336-768-1933",
            "fax_number": "336-768-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "CPO, FAAOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NC",
            "license": "CP001225",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NC",
            "license": "CP001225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795063",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # NON HMO AETNA",
            "identifier": "4496224",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703164",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9110925",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0487N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A9348",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2021053",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "32953",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Births Your Way
• Andrew Biscardi, MD
• Nicolas Ryan Bisig, D.M.D.
• Charlz Bisongebobetchu Bisong Jr., DO
• Kimberly Marie Biss, FNP-C
• Randall Glenn Bissette, MD
• Sukirti Bista, M.D.
• Rosemary E Bisti, CRNA
• Margaret Bistok, PHARMD
• Rhonda L Bitting, M.D.

• Orthotist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Orthotist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.