Orthotech Atlanta, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOTECH ATLANTA, LLC

Practice address

114 Jonesboro St
McDonough, GA 30253-3119

Phone

(800) 507-0087

Fax

(800) 661-1985

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Michael Cornell

Title

VP of Operations and Finance

Phone

(800) 507-0087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1952700908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JONESBORO ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533119",
            "telephone_number": "800-507-0087",
            "fax_number": "800-661-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 JONESBORO ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533119",
            "telephone_number": "800-507-0087",
            "fax_number": "800-661-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTECH ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP OF OPERATIONS AND FINANCE",
        "authorized_official_telephone_number": "800-507-0087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in McDonough, GA
• Providers in McDonough, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

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