Organization Active NPI

Anatomical Designs, Inc.

  • Prosthetic/Orthotic Supplier
  • Morgantown, WV
National Provider Identifier
1962475053
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ANATOMICAL DESIGNS, INC.
Practice address
511 Burroughs St
Suite 104
Morgantown, WV 26505-3388
Phone
(304) 284-9190
Fax
(304) 284-9194
NPI assigned
Feb 9, 2006
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Shandon H. Hime, CP, FAAOP
Title
Owner
Phone
(724) 430-1470

Specialties & licenses 1

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

Addresses

Primary practice location

511 Burroughs St
Suite 104
Morgantown, WV 26505-3388

Mailing address

383 Dixon Blvd
Uniontown, PA 15401-3967
Phone (724) 430-1470

Other identifiers 3

IdentifierTypeStateIssuer
DME746OtherWVTHE HEALTH PLAN
6300074000MedicaidWV
251812746002OtherWVMT. STATE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930019465 WV DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 0042400145 Practice locations: Morgantown, WV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Anatomical Designs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

383 Dixon Blvd
Uniontown, PA 15401
Phone (724) 366-1166

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1962475053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 DIXON BLVD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013967",
            "telephone_number": "724-430-1470",
            "fax_number": "724-430-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BURROUGHS ST",
            "address_2": "SUITE 104",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053388",
            "telephone_number": "304-284-9190",
            "fax_number": "304-284-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATOMICAL DESIGNS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "HIME",
        "authorized_official_first_name": "SHANDON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-430-1470",
        "authorized_official_credential": "CP, FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HEALTH PLAN",
            "identifier": "DME746",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6300074000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE BLUE SHIELD",
            "identifier": "251812746002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.