WESTERN RESERVE ORTHOTICS PROSTHETICS CENTRE INC (NPI# 1265049092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265049092 |
| Entity Type | Organization |
| Organization Name | WESTERN RESERVE ORTHOTICS PROSTHETICS CENTRE INC |
| Practice Address |
1 Community St Ste 1 Wheeling WV 26003-5250 |
| Mailing Address |
6431 Mahoning Ave Youngstown OH 44515-2039 |
| Practice Telephone | 7402965695 |
| Mailing Telephone | 3307926826 |
| Mailing Fax Number | 3307928493 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | NICHOLE LYN BROWN (ADMINISTRATIVE SUPERVISOR) |
| Authorized Official Telephone | 3307926826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | 4228050001 | 01 |
| OH | 2229225 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579690 | Western Reserve Orthotics Prosthetics Centre Inc | Prosthetic/Orthotic Supplier | 6431 Mahoning Ave, Austintown, OH 44515-2039 | 2005-09-26 |
| Street Address |
1 COMMUNITY ST STE 1 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
| 1316405640 | Elizur Corporation | Prosthetic/Orthotic Supplier | 1001 W Baltimore St Ste 3, Mcmechen, WV 26040-1503 | 2019-03-05 |
| 1790278133 | New Horizon Orthotic & Prosthetic Systems | Prosthetic/Orthotic Supplier | 5505 Us Route 60 Ste 190, Huntington, WV 25705-2031 | 2018-06-11 |
| 1710482088 | Noni | Prosthetic/Orthotic Supplier | 917 20th St, Huntington, WV 25703-1809 | 2018-03-28 |
| 1225540263 | Eye Candy Beauty Supply | Prosthetic/Orthotic Supplier | 208 Adams St, Fairmont, WV 26554-2826 | 2017-10-31 |
| 1124478854 | Anatomical Designs, Inc. | Prosthetic/Orthotic Supplier | 8000 Jerry Dove Drive Suite 104, Bridgeport, WV 26330-0000 | 2016-06-14 |
| 1154742328 | Ace Medical LLC | Prosthetic/Orthotic Supplier | 2702 1st Ave, Huntington, WV 25702-1340 | 2013-12-13 |
| 1528304649 | The Progressive Orthopaedic Company,llc | Prosthetic/Orthotic Supplier | 1000 Hampton Ctr, Suite D, Morgantown, WV 26505-3315 | 2012-12-18 |
| 1770866220 | Lehotay Prosthetics, LLC | Prosthetic/Orthotic Supplier | 81 A Commerce Park Circle, Chapmanville, WV 25508 | 2011-09-21 |
| Find all providers with the same taxonomy | ||||
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| 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.