Eastwood Orthotics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CO003383 Issued in OH

Legal business name

EASTWOOD ORTHOTICS, INC

Practice address

3877 Youngstown Rd SE
Warren, OH 44484-2836

Phone

(330) 544-6777

Fax

(330) 544-9366

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dennis R Byers, CO

Title

President

Phone

(330) 544-6777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Eastwood Orthotics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastwood Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Hermitage, PA
  • NPI 1891708830
  NPD tax ID

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1962423061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842836",
            "telephone_number": "330-544-6777",
            "fax_number": "330-544-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842836",
            "telephone_number": "330-544-6777",
            "fax_number": "330-544-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-544-6777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "CO003383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0969840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kierstin Elizabeth E Williams
• Dana Eade
• Ear,Nose and Throat of Warren, Inc.
• Rosanne Eartly, CRNA
• Eastwood Medical Center Inc
• Brittany Eaton, LPN
• Ashley Marie Eckenrode, CRNA
• Kurt Jason Eckenrode, CPRS
• Denise Lynn Eckroate
• Erica Eckstrom

• Prosthetic/Orthotic Supplier in Warren, OH
• Providers in Warren, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.