Miomed Orthopaedics, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIOMED ORTHOPAEDICS, INC.

Practice address

2502 N Clark St Ste 207
Chicago, IL 60614-1850

Phone

(773) 477-8991

Fax

(773) 477-4001

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Mark Alexander Sorensen

Title

President

Phone

(773) 477-8991

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Obility Doing business as

Locations

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1780198887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 N CLARK ST STE 290",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141848",
            "telephone_number": "773-477-8991",
            "fax_number": "773-477-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N CLARK ST STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141850",
            "telephone_number": "773-477-8991",
            "fax_number": "773-477-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIOMED ORTHOPAEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-477-8991"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HME LICENSE NUMBER",
            "identifier": "203.001898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Wood Mintz, MSW
• Michael Royal Mintz
• Rachel Mintz, LCSW
• Michael Minus
• Alan Minyard, M.S., OTR/L
• Mohammed Miqdad, MD
• Miqlewis LLC
• Mir Akif Ali MD PC
• Alia Mir, LCSW
• Nabiel Mir, MBBS

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.