OTTO BOCK HEALTHCARE LP (NPI# 1518164276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518164276 |
Entity Type | Organization |
Organization Name | OTTO BOCK HEALTHCARE LP |
Other Organization Name | ORTHOREHAB |
Practice Address |
5012 Oxfordshire Rd Waxhaw NC 28173-7324 |
Mailing Address |
2801 S Fair Ln Ste 101 Tempe AZ 85282-3199 |
Practice Telephone | 8007112205 |
Practice Fax Number | 8005999852 |
Mailing Telephone | 8007112205 |
Mailing Fax Number | 8005999852 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-12-27 |
Authorized Official Name | SHARON KAY CLARK (ADMINISTRATOR 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 |
---|---|---|---|
NC | AETNA HMO PIN | 2624721 | 01 |
NC | ABP DMENSION PIN | 26106 | 01 |
NC | BCBS NC PIN | 045X3 | 01 |
NC | ACM PIN | 1030095 | 01 |
NC | USA MCO PIN | 861099 | 01 |
NC | CARE CENTRIX PIN | 1220 | 01 |
NC | CCN PIN | 5453317 | 01 |
NC | AETNA NON HMO | 7850253 | 01 |
NC | NORTHWOOD NPN PIN | 82108 | 01 |
Other Name | Type Code |
---|---|
OrthoRehab | Doing Business As Name - Organization |
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 |
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 |
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 |
5012 OXFORDSHIRE RD |
City | WAXHAW |
State | NC |
Zip Code | 28173-7324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
Find all providers in zip 28173 |
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 |
---|---|---|---|---|
1356745129 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2520 Cuthbertson Rd, Waxhaw, NC 28173-7441 | 2014-10-22 |
1275761199 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2531 Cuthbertson Rd, Waxhaw, NC 28173-8111 | 2009-06-30 |
1639312200 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10012 Weiss Way, Waxhaw, NC 28173-0800 | 2009-04-13 |
1457534919 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8101 Kensington Dr., Waxhaw, NC 28173 | 2007-12-07 |
1659562486 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1602 Providence Rd S, Waxhaw, NC 28173-8314 | 2007-08-07 |
1710025366 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 8157 Kensington Dr, Waxhaw, NC 28173 | 2007-02-02 |
1528162294 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1142 N Broome St, Waxhaw, NC 28173-9378 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225864 | Tommy Mcneill | Durable Medical Equipment & Medical Supplies | 3602 Laurel Creek Way, Durham, NC 27712-2982 | 2020-11-08 |
1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
1306445648 | Good Hope Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 | 2020-10-19 |
1548876006 | Classified Group Ltd | Durable Medical Equipment & Medical Supplies | 520 Lake Holding St, Wake Forest, NC 27587-6856 | 2020-09-21 |
1518573468 | Joemax Healthcare Services LLC | Durable Medical Equipment & Medical Supplies | 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 | 2020-09-16 |
1023623303 | Vanity Allure X Ylh Beautique Salon Suites LLC | Durable Medical Equipment & Medical Supplies | 405 Blandwood Ave, Greensboro, NC 27401-2705 | 2020-09-13 |
1356954556 | Ramona Strong | Durable Medical Equipment & Medical Supplies | 104 Lynden Ln, New Bern, NC 28560-8552 | 2020-08-26 |
1104438506 | Murphy Medical Supply | Durable Medical Equipment & Medical Supplies | 12520 Capital Blvd Ste 401-114, Wake Forest, NC 27587-4659 | 2020-08-18 |
1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
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.