Individual provider Active NPI

Anthony Carl Ward, CPO

  • Prosthetist
  • Edgewood, KY
National Provider Identifier
1659840502
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
LPO-109 Issued in KY
Practice address
20 Medical Village Dr Ste 100
Edgewood, KY 41017-5403
Phone
(859) 341-7688
Fax
(859) 341-4476
NPI assigned
Nov 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X LPO-109 KY
Orthotist 222Z00000X LPO.00217 OH
Prosthetist 224P00000X LPO.00217 OH
Prosthetist 224P00000X LPO-109 KY Primary

Addresses

Primary practice location

20 Medical Village Dr Ste 100
Edgewood, KY 41017-5403

Mailing address

20 Medical Village Dr Ste 100
Edgewood, KY 41017-5403
Phone (859) 341-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPO-109KYMDProsthetist
LPO.00217OHMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Durrett's Orthotic and Prosthetic LLC Orthotist CurrentSince Aug 28, 2022 Accepting new patients
Durrett's Orthotic and Prosthetic LLC Orthotist Current Accepting new patients

Locations

20 Medical Village Dr
Ste 100
Edgewood, KY 41017
Phone (859) 341-7688

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1659840502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR STE 100",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175403",
            "telephone_number": "859-341-7688",
            "fax_number": "859-341-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR STE 100",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175403",
            "telephone_number": "859-341-7688",
            "fax_number": "859-341-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ANTHONY",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "KY",
            "license": "LPO-109",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LPO.00217",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "LPO.00217",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "KY",
            "license": "LPO-109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.