OTTO BOCK HEALTHCARE LP (NPI# 1285845131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285845131 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK HEALTHCARE LP |
| Practice Address |
1002 Marquette St # B Bay City MI 48706-4023 |
| Mailing Address |
Two Carlson Pkwy Ste 100 Attn Sharon Clark Contracts Minneapolis MN 55447-4467 |
| Practice Telephone | 8007112205 |
| Practice Fax Number | 8005999852 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-06-16 |
| 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 | U ME-0156743 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ACM PIN | 1030086 | 01 |
| MI | CARECENTRIX | 1220 | 01 |
| MI | PREFERRED CHOICE | 132037 | 01 |
| MI | NORTHWOOD INC PIN | 1680 | 01 |
| MI | 87-4709792 | 05 | |
| MI | PREFERRED ONE | 1042906 | 01 |
| MI | AETNA NON HMO | 7850253 | 01 |
| MI | PARAMOUND HEALTHCARE PIN | 04312 | 01 |
| MI | AETNA HMO | 2624721 | 01 |
| MI | CCN PIN | 5453317 | 01 |
| MI | NORTHWOOD NPN PIN | 82108 | 01 |
| MI | HEALTHPLUS PIN# | 0994320 | 01 |
| MI | ABD DMENSION | 26106 | 01 |
| MI | HAP VENDOR# | 50060982 | 01 |
| MI | BCBS MI | 54-0-F3-25160 | 01 |
| MI | CARE CHOICES | 132037 | 01 |
| MI | USA MCO PIN | 861099 | 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 |
| 1003025958 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 2350 34th St, Lubbock, TX 79411-1634 | 2007-05-21 |
| 1992914840 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1705 Ohio Dr Ste 200, Plano, TX 75093-5257 | 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 |
| Oklahoma Business Registrations | OTTO BOCK HEALTHCARE LP | Two Carlson Parkway N, Suite 100, Plymouth, MN 55447-4467 |
| Street Address |
1002 MARQUETTE ST # B |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1285100032 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1900 Columbus Ave Ste P, Bay City, MI 48708-6831 | 2018-10-19 |
| 1295025542 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 1002 Marquette St, Unit B, Bay City, MI 48706-4023 | 2011-04-07 |
| 1629391511 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 503 N Euclid Ave Ste 2, Bay City, MI 48706 | 2010-03-05 |
| 1407186976 | Prime Brothers Mattres & Furniture | Durable Medical Equipment & Medical Supplies | 1500 S Euclid Ave, Bay City, MI 48706-3318 | 2010-01-06 |
| 1518007079 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 2980 Wilder Rd, Bay City, MI 48706-9213 | 2007-02-07 |
| 1073617817 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2711 7th St, Bay City, TX 77414-5317 | 2006-09-12 |
| 1780793208 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 3880 Wilder Road, Bay City, MI 48706-2146 | 2006-08-29 |
| 1679682116 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 901 West Midland Street, Bay City, MI 48706-4288 | 2006-08-29 |
| 1588670889 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 500 Lafayette Avenue, Bay City, MI 48708-7854 | 2006-07-31 |
| 1174538268 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3018 7th St, Bay City, TX 77414-5410 | 2006-07-29 |
| Find all providers in BAY CITY | ||||
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.