Midlands Prosthetics Adn Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

002 25859 5 Issued in SC

Legal business name

MIDLANDS PROSTHETICS ADN ORTHOTICS

Practice address

147 Pendleton St NW
Aiken, SC 29801-3859

Phone

(803) 641-6007

Fax

(803) 641-6047

NPI assigned

Aug 15, 2005

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist IV

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1881696292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PENDLETON ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013859",
            "telephone_number": "803-641-6007",
            "fax_number": "803-641-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS PROSTHETICS ADN ORTHOTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST IV",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "002 25859 5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00943379A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1980",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabelle Messer, LPN
• Theodore Mark Meyer, M.D.
• Mi'Angels Caretakers LLC
• Michael D. Fulford, PA
• Michelle Deirdre Arthur
• Charles David Miles, D.M.D.
• Eliza Miller
• Ellen E Miller, LPC LMFT NCDC
• Helen M Miller
• Kerith Allene Miller

• Prosthetic/Orthotic Supplier in Aiken, SC
• Providers in Aiken, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.