Organization Active NPI

National Prosthetics and Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Maysville, KY
National Provider Identifier
1841547049
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NATIONAL PROSTHETICS AND ORTHOTICS, INC.
Practice address
901 Kenton Station Dr
Room 115 & 116
Maysville, KY 41056-9609
Phone
(859) 442-0400
Fax
(859) 442-0158
NPI assigned
Aug 7, 2012
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL PROSTHETICS AND ORTHOTICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Mr. Farah George Ghazala, CPO, LP
Title
Owner / President
Phone
(859) 442-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

901 Kenton Station Dr
Room 115 & 116
Maysville, KY 41056-9609

Mailing address

4200 Alexandria Pike
Suite C
Cold Spring, KY 41076-3530
Phone (859) 442-0400

Other identifiers 2

IdentifierTypeStateIssuer
0097227MedicaidOH
7100236130MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130208000080 KY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 9638373921 Practice locations: Maysville, KY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
National Prosthetics and Orthotics901 Kenton Station Drive, Maysville, KY 41056-9609(859) 442-0400 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 Accepts assignmentParticipating since May 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
National Prosthetics and Orthotics Inc3 organizations share this tax ID, including this one
Part of
National Prosthetics and Orthotics Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Kenton Station Dr
Rm 115
Maysville, KY 41056
Phone (859) 442-0400

901 Kenton Station Dr
Rm 115116
Maysville, KY 41056
Phone (859) 442-0400

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1841547049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 ALEXANDRIA PIKE",
            "address_2": "SUITE C",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410763530",
            "telephone_number": "859-442-0400",
            "fax_number": "859-442-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KENTON STATION DR",
            "address_2": "ROOM 115 & 116",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569609",
            "telephone_number": "859-442-0400",
            "fax_number": "859-442-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL PROSTHETICS AND ORTHOTICS, INC.",
        "enumeration_date": "2012-08-07",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "GHAZALA",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "859-442-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097227",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100236130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.

Verify at the official NPI Registry.