ADVANCED ORTHOPRO, INC. (NPI# 1265892343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265892343 |
| Entity Type | Organization |
| Organization Name | ADVANCED ORTHOPRO, INC. |
| Practice Address |
575 Riley Hospital Dr Suite 1405 Indianapolis IN 46202-5272 |
| Mailing Address |
1820 N Illinois St Indianapolis IN 46202-1318 |
| Practice Telephone | 3179448654 |
| Practice Fax Number | 3179440035 |
| Mailing Telephone | 3179244444 |
| Mailing Fax Number | 3179246319 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | MR. MOHAMAD MANSOORI (CEO) |
| Authorized Official Telephone | 3179244444 |
| Authorized Official Credential | C.P.O |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED ORTHOPRO, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 0025596680016 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100178660A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710314620 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 3185 S 3rd Pl, Terre Haute, IN 47802-3785 | 2013-10-09 |
| 1801223714 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 8645 Founders Rd, Indianapolis, IN 46268-1336 | 2013-10-09 |
| 1629405535 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 916 E Main St, Greenwood, IN 46143-1538 | 2013-10-09 |
| 1497182356 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 7930 N Shadeland Ave, Indianapolis, IN 46250-2942 | 2013-10-08 |
| Street Address |
575 RILEY HOSPITAL DR SUITE 1405 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366650327 | Ruth Ann Baird | Psychiatry & Neurology | 575 Riley Hospital Dr, Ri 1340, Indianapolis, IN 46202-5272 | 2007-05-21 |
| 1689280257 | Raya Nicole Mikesell | Dietitian, Registered | 575 Riley Hospital Dr, Indianapolis, IN 46202-5272 | 2020-09-19 |
| 1306259023 | John R Emhardt | Dentist | 575 Riley Hospital Dr, Indianapolis, IN 46202-5272 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| 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 |
|---|---|---|---|---|
| 1639781081 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 | 2020-08-18 |
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1568871200 | Phyllis Davis Cosmetologist | Prosthetic/Orthotic Supplier | 2336 E 53rd St, Indianapolis, IN 46220-3430 | 2014-08-07 |
| 1295145068 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 1440 E County Line Rd Ste 1600, Figleaf Boutique Crcc-s, Indianapolis, IN 46227-0963 | 2014-05-02 |
| 1801223714 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 8645 Founders Rd, Indianapolis, IN 46268-1336 | 2013-10-09 |
| 1588005649 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 8935 North Meridian Street, Suite 111, Indianapolis, IN 46260 | 2013-07-17 |
| 1922441518 | Carmel Orthodesign, LLC | Prosthetic/Orthotic Supplier | 9591 Valparaiso Ct, Indianapolis, IN 46268-1130 | 2013-04-12 |
| 1255681870 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 618 N High School Rd Ste B, Indianapolis, IN 46214-3684 | 2012-09-11 |
| 1760742274 | Orthotic and Prosthetic Designs, LLC | Prosthetic/Orthotic Supplier | 5120 Commerce Cir Ste 104, Indianapolis, IN 46237-9717 | 2012-05-18 |
| 1295000909 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2012-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.