Active NPI
Northern Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- Iron Mountain, MI
National Provider Identifier
1790424828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- NORTHERN ORTHOTICS & PROSTHETICS
- Practice address
- 1115 S Hemlock St
Iron Mountain, MI 49801-3800 - Phone
- (906) 553-7350
- NPI assigned
- May 27, 2022
- Last updated
- Sep 17, 2026
- Organization subpart
- Yes
- Parent organization
- NORTHERN ORTHOTICS AND PROSTHETICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (906) 273-2444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1115 S Hemlock St
Iron Mountain, MI 49801-3800
Mailing address
1015 Commerce Dr
Marquette, MI 49855-8694
Phone (190) 645-8471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231219002529 | MI | DME Supplier - Certified Orth/Pros/Pedorthist | 5890813588 | Practice locations: Iron Mountain, MI |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Marquette, MI
- NPI 1174874143
5890813588
-
- Prosthetic/Orthotic Supplier
- Escanaba, MI
- NPI 1336548338
5890813588
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Northern Orthotics & Prosthetics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Northern Ortho Pros
- Part of
- Northern Ortho Pros
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Marquette, MI
- NPI 1174874143
-
- Prosthetic/Orthotic Supplier
- Escanaba, MI
- NPI 1336548338
-
- Prosthetic/Orthotic Supplier
- Baraga, MI
- NPI 1891764403
Locations
20075 3rd St
Hancock, MI 49930
Phone (906) 482-7733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1790424828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 COMMERCE DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558694",
"telephone_number": "190-645-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S HEMLOCK ST",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013800",
"telephone_number": "906-553-7350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN ORTHOTICS & PROSTHETICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHERN ORTHOTICS AND PROSTHETICS",
"enumeration_date": "2022-05-27",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "SABEL",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "906-273-2444"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
- Northern Eye Care Associates, P.C.
- Northern Eye Care Associates, P.C.
- Northern Lights Compounding Inc.
- Northern Michigan Home Health Inc
- Northern Optical, Inc. (Exact Eye Care)
- Northern Pathology Laboratory, P.C.
- Northwoods Imaging Associates PC
- John E. Nowicki, D.C.
- Brenda Sue Nurmela, RD
- Anthony Joseph O'Sickey, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.