OTTO BOCK HEALTHCARE LP (NPI# 1316094667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316094667 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK HEALTHCARE LP |
| Practice Address |
2305 E Paris Ave Se Ste 100 Grand Rapids MI 49546-2426 |
| Mailing Address |
Two Carlson Pkwy - Ste 100 Attn Sharon Clark Contracts Minneapolis MN 55447-4467 |
| Practice Telephone | 6169541821 |
| Practice Fax Number | 8772401141 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | SHARON KAY CLARK (ADMINSTRATOR PAYOR RELATIONS) |
| 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 |
|---|---|---|---|
| MI | ABP DMENSION PIN # | 26106 | 01 |
| MI | CARE CHOICES PIN # | 132037 | 01 |
| MI | AETNA HMO PIN # | 2624721 | 01 |
| MI | CARECENTRIX PIN # | 1220 | 01 |
| MI | PARAMOUNT HEALTHCARE PIN | 04312 | 01 |
| MI | NORTHWOOD INC PIN # | 1680 | 01 |
| MI | HAP VENDOR # | 50060982 | 01 |
| MI | AETNA NONHMO PIN # | 7850253 | 01 |
| MI | HEALTHPLUS PIN # | 0994320 | 01 |
| MI | PREFERRED ONE | 1042906 | 01 |
| MI | NORTHWOOD NPN PIN # | 82108 | 01 |
| MI | USA MCO PIN # | 861099 | 01 |
| MI | ACM PIN # | 1030083 | 01 |
| MI | PREFERRED CHOICE PIN # | 132037 | 01 |
| MI | CCN PIN # | 5453317 | 01 |
| MI | BCBS MI PIN # | 54-0-F3-25160 | 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 |
2305 E PARIS AVE SE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972042307 | Brianna Lee Furze | Counselor | 2305 E Paris Ave Se, Suite 203, Grand Rapids, MI 49546-2426 | 2017-02-17 |
| 1639627920 | Erica Elizabeth Russell | Counselor | 2305 E Paris Ave Se, Grand Rapids, MI 49546-2426 | 2016-09-14 |
| 1215366174 | Erica Koetsier | Psychologist | 2305 E Paris Ave Se, Suite 203, Grand Rapids, MI 49546-2426 | 2013-11-01 |
| 1396172425 | Alicia L Mcandrews | Counselor | 2305 E Paris Ave Se, Suite 203, Grand Rapids, MI 49546-2426 | 2013-10-03 |
| 1114369782 | Ashley Michelle-sneary Hanberry | Counselor | 2305 E Paris Ave Se, 203, Grand Rapids, MI 49546-2426 | 2013-07-24 |
| 1811252737 | Stacey Lynn Vandenberg | Counselor | 2305 E Paris Ave Se, Grand Rapids, MI 49546-2426 | 2012-07-06 |
| 1831408731 | Rachael Kool | Counselor | 2305 E Paris Ave Se, Suite 203, Grand Rapids, MI 49546-2426 | 2010-09-27 |
| 1033444617 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2305 E Paris Ave Se, Ste 100, Grand Rapids, MI 49546-2426 | 2009-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1689232134 | Supersomnia LLC | Durable Medical Equipment & Medical Supplies | 6886 Cascade Rd Se Ste D, Grand Rapids, MI 49546-6879 | 2019-05-30 |
| 1649723263 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 555 Michigan St Ne Ste 100, Grand Rapids, MI 49503-5753 | 2016-08-01 |
| 1285050435 | Grace Audrey Miller | Durable Medical Equipment & Medical Supplies | 2824 Thornapple River Dr Se, Grand Rapids, MI 49546-6844 | 2014-03-12 |
| 1962830794 | Jerry Burgess Mulder | Durable Medical Equipment & Medical Supplies | 426 Michigan St Ne Ste 207, Grand Rapids, MI 49503-5608 | 2013-10-14 |
| 1447504337 | Integrated Sales and Marketing | Durable Medical Equipment & Medical Supplies | 3721 Pine Park Ct Se, Grand Rapids, MI 49546-9129 | 2012-10-31 |
| 1265705198 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 230 Michigan St Ne Ste 200, Grand Rapids, MI 49503 | 2012-02-23 |
| 1912205030 | Begin Healing, Inc | Durable Medical Equipment & Medical Supplies | 2300 Sw 11th St, Grand Rapids, MN 55744-9777 | 2011-03-14 |
| 1861796112 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3590 Plainfield Ave Ne, Grand Rapids, MI 49525-2719 | 2010-12-30 |
| 1811207350 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4085 Burton Se, Suite 102, Grand Rapids, MI 49546 | 2010-10-18 |
| 1184940074 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 5005 Cascade Rd Se Ste C, Grand Rapids, MI 49546-8411 | 2010-04-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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.