Prosthetic Orthotic Specialists, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC ORTHOTIC SPECIALISTS, INC

Practice address

5095 Ellison St NE
Albuquerque, NM 87109-4326

Phone

(505) 244-0404

Fax

(505) 244-0708

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joe E Lott II

Title

President

Phone

(505) 244-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Prosthetic & Orthotic Design Doing business as

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1902883473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91630",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871991630",
            "telephone_number": "505-244-0404",
            "fax_number": "505-244-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 ELLISON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094326",
            "telephone_number": "505-244-0404",
            "fax_number": "505-244-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC ORTHOTIC SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-244-0404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T6178",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Prosthetic & Orthotic Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trent Lee Proffitt, M.D.
• Gerald Frank Prohaska, DDS,MS
• Erica Prokopich, NP-C
• Prospera Healthcare New Mexico LLC
• Tony Jacinto Prosser, PHARMD
• Prosthetic Orthotic Specialists, Inc.
• Shawn Proudfoot, LISW
• Joan Prouty, PA-C
• Desiree Renee Provencio, DNP, CNP, PMHNP-BC
• Providence Support Services Inc.

• Prosthetic/Orthotic Supplier in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Prosthetic/Orthotic Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.