MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC (NPI# 1457555286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457555286 |
| Entity Type | Organization |
| Organization Name | MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC |
| Other Organization Name | MORGANTOWN O&P, MOPC, |
| Practice Address |
527 Medical Park Dr Suite 110 Bridgeport WV 26330-9008 |
| Practice Telephone | 3049333847 |
| Practice Fax Number | 3049333849 |
| Mailing Telephone | 3049333847 |
| Mailing Fax Number | 3049333849 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | MR. MARK GORMAN (CO-DIRECTOR) |
| Authorized Official Telephone | 3045980528 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Morgantown O&P, MOPC, | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275083537 | Morgantown Orthotic & Prosthetic Center, Inc | Prosthetic/Orthotic Supplier | 360 W Liberty St, Oakland, MD 21550-1237 | 2016-10-11 |
| 1275533424 | Morgantown Orthotic & Prosthetic Center, Inc | Prosthetic/Orthotic Supplier | 7000 Hampton Ctr, Suite A, Morgantown, WV 26505-1720 | 2005-07-29 |
| Street Address |
527 MEDICAL PARK DR SUITE 110 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134101660 | United Hospital Center Inc | Family Medicine | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9010 | 2005-11-18 |
| 1760967400 | Susan Rennae Kirkendall | Counselor | 527 Medical Park Dr, Bridgeport, WV 26330-9008 | 2018-09-28 |
| 1457886988 | Rachel S Holeman | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-21 |
| 1205360237 | Nathan E Russell | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1255865275 | Brandon M Lewko | Emergency Medicine | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1144754177 | Premkumar Chandrakantbhai Patel | General Practice | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1922546175 | Leslie D. Mavromatis | Counselor | 527 Medical Park Dr, Bridgeport, WV 26330-9008 | 2017-02-08 |
| 1316491996 | Ellen Palmer Hoban | Nurse Practitioner | 527 Medical Park Dr, Suite 105, Bridgeport, WV 26330-9008 | 2016-08-11 |
| 1194170571 | Matthan Jackson | Family Medicine | 527 Medical Park Dr, Ste 500, Bridgeport, WV 26330-9008 | 2016-05-04 |
| 1447605837 | Arsalan Khawaja | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Ste 500, Bridgeport, WV 26330-9008 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| 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 |
|---|---|---|---|---|
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1124478854 | Anatomical Designs, Inc. | Prosthetic/Orthotic Supplier | 8000 Jerry Dove Drive Suite 104, Bridgeport, WV 26330-0000 | 2016-06-14 |
| 1497090641 | Mobile Orthotic & Prosthetic Services | Prosthetic/Orthotic Supplier | 429 Salem St, Bridgeport, CT 06606-4684 | 2012-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049092 | Western Reserve Orthotics Prosthetics Centre Inc | Prosthetic/Orthotic Supplier | 1 Community St Ste 1, Wheeling, WV 26003-5250 | 2020-09-25 |
| 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 |
| 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 | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC.
| 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.