Organization Active NPI

Tri-State Prosthetic Orthotic Center

  • Prosthetic/Orthotic Supplier
  • Huntington, WV
National Provider Identifier
1770752255
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
10387704 Issued in WV
Legal business name
TRI-STATE PROSTHETIC ORTHOTIC CENTER
Practice address
821 6TH Ave
Huntington, WV 25701-2107
Phone
(304) 529-2097
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Michael J ZonesNPI 1730252958
Title
Owner
Phone
(304) 529-2097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 10387704 WV Primary

Addresses

Primary practice location

821 6TH Ave
Huntington, WV 25701-2107

Mailing address

PO Box 2426
Huntington, WV 25725-2426
Phone (304) 529-2097

Other identifiers 3

IdentifierTypeStateIssuer
0554074MedicaidOH
90269010MedicaidKY
0148359000MedicaidWV

National Provider Directory

National Provider Directory

Locations

821 6th Ave
Huntington, WV 25701
Phone (304) 529-2097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1770752255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2426",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257252426",
            "telephone_number": "304-529-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012107",
            "telephone_number": "304-529-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PROSTHETIC ORTHOTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "ZONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-529-2097"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WV",
            "license": "10387704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0554074",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90269010",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148359000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.