Innovative Prosthetic Care Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNOVATIVE PROSTHETIC CARE INC

Practice address

9034 B Carl Leggett Rd
Gulfport, MS 39503

Phone

(228) 604-0818

Fax

(601) 510-1610

NPI assigned

Nov 13, 2007

Organization subpart

Yes

Parent organization

HANGER, INC.As 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 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

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1639359078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846",
            "telephone_number": "228-604-0818",
            "fax_number": "601-510-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9034 B CARL LEGGETT RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-604-0818",
            "fax_number": "601-510-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETIC CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER, INC.",
        "enumeration_date": "2007-11-13",
        "last_updated": "2014-06-25",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.