Organization Active NPI

Central Ohio Orthotic & Prosthetic Ctr Inc

  • Prosthetic/Orthotic Supplier
  • Dublin, OH
National Provider Identifier
1861773830
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CE92437 Issued in OH
Legal business name
CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC
Practice address
248 Bradenton Avenue
Dublin, OH 43017
Phone
(614) 231-4256
Fax
(614) 231-0127
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Ms. Brenda K. Fowler
Title
Office Manager
Phone
(614) 231-4256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CE92437 OH Primary

Addresses

Primary practice location

248 Bradenton Avenue
Dublin, OH 43017

Mailing address

3059 E Mound Street
Columbus, OH 43209-2665
Phone (614) 231-4256

Other identifiers 1

IdentifierTypeStateIssuer
0820553MedicaidOH

National Provider Directory

National Provider Directory

Locations

3059 E Mound St
Columbus, OH 43209
Phone (614) 231-4256

248 Bradenton Ave
Dublin, OH 43017
Phone (614) 231-4256

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1861773830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 E MOUND STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092665",
            "telephone_number": "614-231-4256",
            "fax_number": "614-231-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BRADENTON AVENUE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-231-4256",
            "fax_number": "614-231-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-231-4256",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "CE92437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820553",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.