NPIMap

Organization Active NPI

Prosthetic Care of Anderson, LLC

  • Prosthetic/Orthotic Supplier
  • Royston, GA
National Provider Identifier
1750679064
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
90 Issued in GA
Legal business name
PROSTHETIC CARE OF ANDERSON, LLC
Practice address
615 Cook St
Royston, GA 30662-3933
Phone
(706) 245-6212
Fax
(706) 245-6262
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Mr. Michael E Hamontree
Title
Ceo
Phone
(949) 863-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 90 GA Primary

Addresses

Primary practice location

615 Cook St
Royston, GA 30662-3933

Mailing address

18022 Cowan
Suite 285
Irvine, CA 92614-6806
Phone (949) 863-1951

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1750679064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18022 COWAN",
            "address_2": "SUITE 285",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146806",
            "telephone_number": "949-863-1951",
            "fax_number": "949-863-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 COOK ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623933",
            "telephone_number": "706-245-6212",
            "fax_number": "706-245-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC CARE OF ANDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "HAMONTREE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-863-1951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

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