Active NPI
Bluff Prosthetics & Orthotics, LLC D/B/a Semo Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Cape Girardeau, MO
National Provider Identifier
1669718359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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 & ORTHOTICS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.