Wisconsin Prosthetics & Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WISCONSIN PROSTHETICS & ORTHOTICS INC

Practice address

1845 Velp Ave
Ste a
Green Bay, WI 54303-6594

Phone

(920) 435-3537

Fax

(920) 435-3545

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

VP & Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NovaCare Prosthetics & Orthotics Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Upland, CA
  • NPI 1619011160

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1962409482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 VELP AVE",
            "address_2": "STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036594",
            "telephone_number": "920-435-3537",
            "fax_number": "920-435-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41791900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wisconsin CVS Pharmacy LLC
• Wisconsin CVS Pharmacy LLC
• Wisconsin Dental Group, S.C.
• Wisconsin Dental Group, S.C.
• Wisconsin Home Health Care, LLC
• Wisconsin Spine and Pain SC
• Wisconsin Vein Institute
• Wisconsin Vision, LLC
• John David Wise, PA
• Sara Noel Wisneski

• Prosthetic/Orthotic Supplier in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.