CERTIFIED ORTHOTIC & PROSTHETIC, INC (NPI# 1386642049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386642049 |
| Entity Type | Organization |
| Organization Name | CERTIFIED ORTHOTIC & PROSTHETIC, INC |
| Other Organization Name | CUSTOM DESIGN ORTHOTIC & PROSTHETIC |
| Practice Address |
1136 Independence Ave Marion OH 43302-6318 |
| Practice Telephone | 7403833490 |
| Practice Fax Number | 7403836459 |
| Mailing Telephone | 7403833490 |
| Mailing Fax Number | 7403836459 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN MARSHALL WILLIAMS (PRESIDENT/PRACTITIONER) |
| Authorized Official Telephone | 7403833490 |
| Authorized Official Credential | LPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | LPO144 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0256431 | 05 |
| Other Name | Type Code |
|---|---|
| CUSTOM DESIGN ORTHOTIC & PROSTHETIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450726 | Certified Orthotic & Prosthetic, Inc | Prosthetic/Orthotic Supplier | 271 Cline Ave, Unit 3, Mansfield, OH 44907-1042 | 2005-07-12 |
| 1316124423 | Certified Orthotic & Prosthetic, Inc | Prosthetic/Orthotic Supplier | 350 Hillcrest Dr, Ashland, OH 44805-4052 | 2008-01-31 |
| Street Address |
1136 INDEPENDENCE AVE |
| City | MARION |
| State | OH |
| Zip Code | 43302-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699016121 | Steve Williams | Orthotist | 1136 Independence Ave, Marion, OH 43302-6318 | 2013-03-07 |
| 1831263722 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1136 Independence Ave, Marion, OH 43302-6318 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| 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 |
|---|---|---|---|---|
| 1104399138 | American Orthopedics Inc | Prosthetic/Orthotic Supplier | 1459 Marion Waldo Rd Ste 230, Marion, OH 43302-7421 | 2019-01-02 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1437320918 | Prevail Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 1001 N Western Ave, Suite F, Marion, IN 46952-2500 | 2008-03-12 |
| 1174669667 | Hair Designer | Prosthetic/Orthotic Supplier | 406 E Court St, Marion, NC 28752-4049 | 2007-01-30 |
| 1770557670 | Cape Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 118 Airway Dr, Marion, IL 62959 | 2006-02-15 |
| 1578054649 | Marc's Leather Repair, LLC | Prosthetic/Orthotic Supplier | 104 E 4th St, Marion, IN 46952-4000 | 2018-05-24 |
| 1073602256 | Bruner Tammy | Prosthetic/Orthotic Supplier | 119 N Baldwin Ave, Marion, IN 46952 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277323 | Diamond Laced Medical Wigs | Prosthetic/Orthotic Supplier | 7373 Brookcrest Dr, Cincinnati, OH 45237-3446 | 2020-05-27 |
| 1689296022 | Glitterati Luxury Virgin Hair Bar | Prosthetic/Orthotic Supplier | 4786 Dressler Rd Nw # 128, Canton, OH 44718-2555 | 2020-05-07 |
| 1629601067 | Ann Marie Braydich | Prosthetic/Orthotic Supplier | 5527 Walnut Grove Cir, Struthers, OH 44471-3116 | 2020-02-13 |
| 1124661491 | John Keenan | Prosthetic/Orthotic Supplier | 11075 Westborough Rd, Parma Heights, OH 44130-3014 | 2019-10-19 |
| 1255985404 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 17900 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-3437 | 2019-07-26 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1851864953 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 500 E Main St Ste 250, Columbus, OH 43215-5369 | 2019-01-10 |
| 1851867212 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 574 N State St Ste B, Westerville, OH 43082-6058 | 2018-10-23 |
| 1194291633 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 1210 Gemini Pl Ste 320, Columbus, OH 43240-6109 | 2018-10-23 |
| 1619443066 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 2185 Stringtown Rd Unit 11, Grove City, OH 43123-2989 | 2018-10-23 |
| 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.