Organization Active NPI

Bluff Prosthetics & Orthotics, LLC D/B/a Semo Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Cape Girardeau, MO
National Provider Identifier
1669718359
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BLUFF PROSTHETICS & ORTHOTICS, LLC D/B/A SEMO PROSTHETICS & ORTHOTICS
Doing business as
SEMO Prosthetics & Orthotics
Practice address
2534 William St
Cape Girardeau, MO 63703-5763
Phone
(573) 332-1015
Fax
(573) 332-1030
NPI assigned
Dec 27, 2012
Organization subpart
Yes
Parent organization
BLUFF PROSTHETICS & ORTHOTICS, LLC D/B/A SEMO PROSTHETICS & ORTHOTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Mr. Horace Hodges
Title
CP
Phone
(573) 778-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2534 William St
Cape Girardeau, MO 63703-5763

Mailing address

2534 William St
Cape Girardeau, MO 63703-5763
Phone (573) 332-1015

Other names 1

  • SEMO Prosthetics & Orthotics Doing business as

National Provider Directory

National Provider Directory
Part of
Bluff Prosthetics Orthotics LLC Dba Semo Prosthetics Orthotics

Locations

2534 William St
Cape Girardeau, MO 63703
Phone (573) 332-1015

915 W Pine St
Poplar Bluff, MO 63901
Phone (573) 776-6236

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1669718359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035763",
            "telephone_number": "573-332-1015",
            "fax_number": "573-332-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035763",
            "telephone_number": "573-332-1015",
            "fax_number": "573-332-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF PROSTHETICS & ORTHOTICS, LLC D/B/A SEMO PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUFF PROSTHETICS & ORTHOTICS, LLC D/B/A SEMO PROSTHETICS & ORTHOTICS",
        "enumeration_date": "2012-12-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "HORACE",
        "authorized_official_title_or_position": "CP",
        "authorized_official_telephone_number": "573-778-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMO Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.