Mansfield Orthotic and Prosthetic Center, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LPO.54 Issued in OH

Legal business name

MANSFIELD ORTHOTIC AND PROSTHETIC CENTER, INC.

Practice address

240 Marion Ave
Mansfield, OH 44903-2115

Phone

(419) 522-4171

Fax

(419) 525-3269

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David James Hoy, CPO/L FAAOP

Title

President

Phone

(419) 522-4171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1992779995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032115",
            "telephone_number": "419-522-4171",
            "fax_number": "419-525-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032115",
            "telephone_number": "419-522-4171",
            "fax_number": "419-525-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD ORTHOTIC AND PROSTHETIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "HOY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-522-4171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO/L FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO.54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5489949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Mansfield, OH
• Providers in Mansfield, 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 Sep 27, 2007; 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.