Active NPI
National Prosthetics and Orthotics, Inc.
- Prosthetic/Orthotic Supplier
- Maysville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- NATIONAL PROSTHETICS AND ORTHOTICS, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097227 | Medicaid | OH | |
| 7100236130 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130208000080 | KY | DME Supplier - Orthotic 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).
-
- Prosthetic/Orthotic Supplier
- Cold Spring, KY
- NPI 1275563546
9638373921
-
- Prosthetic/Orthotic Supplier
- Cincinnati, OH
- NPI 1417759754
9638373921
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 |
|---|---|---|
| National Prosthetics and Orthotics | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- National Prosthetics and Orthotics Inc
- 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.
-
- Prosthetic/Orthotic Supplier
- Cold Spring, KY
- NPI 1275563546
-
- Prosthetic/Orthotic Supplier
- Cincinnati, OH
- NPI 1417759754
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.