Creative Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CREATIVE ORTHOTICS & PROSTHETICS, INC.

Practice address

100 John Roemmelt Dr
Suite 200
Horseheads, NY 14845-8301

Phone

(607) 796-5906

Fax

(607) 796-5908

NPI assigned

Oct 16, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

ST JOSEPH'S HEALTH SYSTEMS INCAs reported in NPPES

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

Authorized official

Name

John Renz

Title

President, Ceo

Phone

(607) 733-5280

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1922188176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR",
            "address_2": "SUITE 200",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458301",
            "telephone_number": "607-796-5906",
            "fax_number": "607-796-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR",
            "address_2": "SUITE 200",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458301",
            "telephone_number": "607-796-5906",
            "fax_number": "607-796-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH'S HEALTH SYSTEMS INC",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "RENZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "607-733-5280"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02604337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Berrick Clifton III, D.O.
• Annette B Cobb, RN
• Colorectal Surgery & Medicine, PC
• Aileen S Colunio, FNP-C
• Cameron James Cowburn, PA-C
• Kathleen Anne Crimmins, RN
• Angela Faye Crisp, M.D.
• Jansen Crossley
• Celestina G. Cunningham, OTR/L
• Amanda Elinor Curren

• Prosthetic/Orthotic Supplier in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.