Organization Active NPI

Prosthetic Consultants Inc

  • Prosthetic/Orthotic Supplier
  • Akron, OH
National Provider Identifier
1689707481
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
LP211 Issued in OH
Legal business name
PROSTHETIC CONSULTANTS INC
Practice address
2656 S Arlington Rd
Akron, OH 44319-2060
Phone
(330) 644-4201
Fax
(330) 644-4202
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Mr. Daniel Mark Shamp, CP
Title
President
Phone
(330) 644-4201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X LP211 OH Primary

Addresses

Primary practice location

2656 S Arlington Rd
Akron, OH 44319-2060

Mailing address

2656 S Arlington Rd
Akron, OH 44319-2060
Phone (330) 644-4201

Other identifiers 1

IdentifierTypeStateIssuer
0877485MedicaidOH

Other names 1

  • shamp bionics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036252 OH DME Supplier - Prosthetic Personnel 3870610181 Practice locations: Coventry Township, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prosthetic Consultants Inc2656 S Arlington Rd, Coventry Township, OH 44319-2060(330) 644-4201 Limb Prostheses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2656 S Arlington Rd
Coventry Township, OH 44319
Phone (330) 245-0345

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1689707481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192060",
            "telephone_number": "330-644-4201",
            "fax_number": "330-644-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192060",
            "telephone_number": "330-644-4201",
            "fax_number": "330-644-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "SHAMP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-644-4201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LP211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877485",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "shamp bionics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.