North Coast Orthotics and Prosthetics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTH COAST ORTHOTICS AND PROSTHETICS INC

Practice address

6100 S Broadway
Ste 104
Lorain, OH 44053-3875

Phone

(440) 233-4314

Fax

(440) 233-7526

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey J. Yakovich, CO/LO

Title

President

Phone

(440) 233-4314

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1699771816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S BROADWAY",
            "address_2": "STE 104",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533875",
            "telephone_number": "440-233-4314",
            "fax_number": "440-233-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S BROADWAY",
            "address_2": "STE 104",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533875",
            "telephone_number": "440-233-4314",
            "fax_number": "440-233-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST ORTHOTICS AND PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "YAKOVICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-233-4314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO/LO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Renea Nobles
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• Marianne Norris, RN CPNP
• Trevor Norris, DPM
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• Prosthetic/Orthotic Supplier in Lorain, OH
• Providers in Lorain, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.