Organization Active NPI

Orthopedic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Greenville, SC
National Provider Identifier
1962438176
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOPEDIC SERVICES, INC.
Practice address
10 Edgewood Dr
Greenville, SC 29605-4236
Phone
(864) 233-7893
Fax
(864) 242-3247
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Mr. Joel R. Vanderwood, CPO
Title
Pressdent/Cpo
Phone
(864) 233-7893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

10 Edgewood Dr
Greenville, SC 29605-4236

Mailing address

10 Edgewood Dr
Greenville, SC 29605-4236
Phone (864) 233-7893

Other identifiers 1

IdentifierTypeStateIssuer
DME309MedicaidSC

National Provider Directory

National Provider Directory

Locations

10 Enterprise Blvd
Ste 101
Greenville, SC 29615
Phone (864) 335-1160

10 Edgewood Dr
Greenville, SC 29605
Phone (864) 233-7893

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1962438176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EDGEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054236",
            "telephone_number": "864-233-7893",
            "fax_number": "864-242-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EDGEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054236",
            "telephone_number": "864-233-7893",
            "fax_number": "864-242-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "VANDERWOOD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESSDENT/CPO",
        "authorized_official_telephone_number": "864-233-7893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME309",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.