OTTO BOCK HEALTHCARE LP (NPI# 1134253388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134253388 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK HEALTHCARE LP |
| Practice Address |
1348 E 3300 S Ste 102 Salt Lake City UT 84106-3492 |
| Mailing Address |
Two Carlson Pkwy - Ste 100 Attn Sharon Clark/contracts Minneapolis MN 55447-4467 |
| Practice Telephone | 8014860489 |
| Practice Fax Number | 8014860488 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | SHARON KAY CLARK (PAYOR RELATIONS & CONTRACT ADMIN) |
| Authorized Official Telephone | 7632535679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECT HEALTH IHC PIN # | 103006522110 | 01 |
| UT | AETNA HMO PIN # | 2624721 | 01 |
| UT | CCN PIN # | 5453317 | 01 |
| UT | NORTHWOOD NPN PIN # | 82108 | 01 |
| UT | ABP DMENSION PIN # | 26106 | 01 |
| UT | CARECENTRIX PIN # | 1220 | 01 |
| UT | USA MCO PIN # | 861099 | 01 |
| UT | AETNA NONHMO PIN # | 7850253 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
| 1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
| 1396926580 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8897 Duncan Rd, San Diego, CA 92126-2435 | 2007-11-16 |
| 1174703896 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 19 Olney Dr, Buffalo, NY 14226-3341 | 2007-11-09 |
| 1407036171 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 705 Tollgate Rd, Suite F, Elgin, IL 60123-9327 | 2007-11-09 |
| 1194922401 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1468 Madison Ave, Box 1241, Guggenheim Pavillion, Mc Level, New York, NY 10029 | 2007-06-29 |
| 1518164276 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 5012 Oxfordshire Rd, Waxhaw, NC 28173-7324 | 2007-06-27 |
| 1659572352 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 440 North State Rd 7, Suite F, Royal Palm Beach, FL 33411-3504 | 2007-05-30 |
| 1285845131 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1002 Marquette St # B, Bay City, MI 48706-4023 | 2007-05-24 |
| 1003025958 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 2350 34th St, Lubbock, TX 79411-1634 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OTTO BOCK HEALTHCARE LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Virginia Business Entities | Otto Bock HealthCare LP | Two Carlson Pkwy North Ste 100, Plymouth, Minnesota 55447 |
| New York State Corporations | OTTO BOCK HEALTHCARE LP | 80 State Street, Albany, New York 12207-2543 |
| Colorado Business Entities | Otto Bock HealthCare LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| North Carolina Corporations | Otto Bock Healthcare LP | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Street Address |
1348 E 3300 S STE 102 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053646612 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 1348 E 3300 S, Ste 102, Salt Lake City, UT 84106-3491 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984538 | Zillah Juliana Musungu | Durable Medical Equipment & Medical Supplies | 3443 S State St Ste 7, Salt Lake City, UT 84115-4915 | 2019-10-21 |
| 1457913071 | In Home Ergonomics, LLC | Durable Medical Equipment & Medical Supplies | 3080 S State St, Salt Lake City, UT 84115-3834 | 2019-07-03 |
| 1205311453 | Insulet Corporation | Durable Medical Equipment & Medical Supplies | 155 N 400 W Ste 300, Salt Lake City, UT 84103-1132 | 2018-10-03 |
| 1720574130 | Diathrive Inc. | Durable Medical Equipment & Medical Supplies | 3855 S 500 W Ste M, Salt Lake City, UT 84115-4255 | 2018-07-09 |
| 1740777416 | R2 Medical, Inc | Durable Medical Equipment & Medical Supplies | 2136 S Richards St, Salt Lake City, UT 84115-2606 | 2018-04-18 |
| 1326542119 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 850 W 1700 S Ste 4a, Salt Lake City, UT 84104-1743 | 2018-03-19 |
| 1639684772 | Cpm Machines LLC | Durable Medical Equipment & Medical Supplies | 4525 S 2300 E, Salt Lake City, UT 84117-4641 | 2017-12-12 |
| 1649798885 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2378 E Fort Union Blvd, Salt Lake City, UT 84121-3339 | 2017-09-08 |
| 1962925909 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3250 S 700 E, Salt Lake City, UT 84106-1641 | 2017-07-21 |
| 1346794492 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 S 1300 E, Ste 101, Salt Lake City, UT 84102-2608 | 2016-08-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on OTTO BOCK HEALTHCARE LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.