ENDURACARE ORTHOTIC & PROSTHETIC SERVICES LLC (NPI# 1578522389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578522389 |
| Entity Type | Organization |
| Organization Name | ENDURACARE ORTHOTIC & PROSTHETIC SERVICES LLC |
| Practice Address |
638 Rostraver Rd Suite 102 Belle Vernon PA 15012-1967 |
| Practice Telephone | 7249308544 |
| Practice Fax Number | 7249308545 |
| Mailing Telephone | 7249308544 |
| Mailing Fax Number | 7249308545 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | MR. MICHAEL PAUL SERENARI (PRESIDENT / CEO) |
| Authorized Official Telephone | 7249308544 |
| Authorized Official Credential | CO BOCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BCBS | 001415688 | 01 |
| PA | MEDICAL ASSISTANCE | 0019181990001 | 01 |
| PA | GATEWAY | 1536991 | 01 |
| PA | 134716 | 05 | |
| PA | AETNA | 3115996 | 01 |
| KY | 90011602 | 05 | |
| PA | INTERGROUP SERVICES | 34358 | 01 |
| Street Address |
638 ROSTRAVER RD SUITE 102 |
| City | BELLE VERNON |
| State | PA |
| Zip Code | 15012-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720137698 | Raymond Andy Speelman | Prosthetist | 638 Rostraver Rd, Suite 102, Belle Vernon, PA 15012-1967 | 2007-01-09 |
| 1285781484 | Michael Paul Serenari | Orthotist | 638 Rostraver Rd, Suite 102, Belle Vernon, PA 15012-1967 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664174 | Karen A Perry | Technician | 209 Pleasant Valley Blvd, Rostraver Twp, PA 15012 | 2019-08-14 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| 1427393008 | Kim Pierce | Dietitian, Registered | 810 Morgan St, Belle Vernon, PA 15012 | 2012-12-07 |
| 1639487671 | Kara M Haupricht | Physician Assistant | 860 Rostraver Road, Belle Vernon, PA 15012 | 2010-09-23 |
| 1538398755 | Spencer Miller | Hearing Instrument Specialist | 29 Fayette Street, Belle Vernon, PA 15012 | 2009-07-09 |
| 1972760957 | Mark Current | Pharmacist | 843 Rostraver Rd, Rite Aid #10891, Belle Vernon, PA 15012 | 2008-05-19 |
| 1568683134 | Donald Edward Rowe | Chiropractor | 139 Valley View Drive, Belle Vernon, PA 15012 | 2007-05-01 |
| 1023234127 | John A Marino | Chiropractor | 1112 Fells Church Road, Belle Vernon, PA 15012 | 2007-04-17 |
| 1164548020 | Mark G Boles | Pediatrics | 1112 Fells Church Rd, Belle Vernon, PA 15012 | 2007-03-22 |
| 1861516635 | Julie Myers | Specialist | 800 Willow Drive, Ste 100, Willowpointe Plaza, Belle Vernon, PA 15012 | 2007-03-19 |
| Find all providers in zip 15012 | ||||
| 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 |
|---|---|---|---|---|
| 1366041030 | Lawall At Hershey, Inc | Prosthetic/Orthotic Supplier | 2020 Good Hope Rd Lawall At Hershey Inc, Suite 220, 2nd Floor, Enola, PA 17025-1237 | 2020-10-22 |
| 1518573435 | Harry J. Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 21 N Main St,harry J. Lawall & Son, Inc, Suite 3, Coopersburg, PA 18036-1561 | 2020-09-16 |
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1003438177 | Tosi's Hair Replacement Clinic, Inc. | Prosthetic/Orthotic Supplier | 390 Slocum Ave, Exeter, PA 18643-1194 | 2020-05-12 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1164055620 | Hanger Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 20421 Route 19 Ste 100, Cranberry Township, PA 16066-7514 | 2020-02-12 |
| 1730711193 | Lvhn Scranton Orthopedic Specialists | Prosthetic/Orthotic Supplier | 334 Main St Ste 2, Dickson City, PA 18519-1668 | 2020-02-04 |
| 1528607223 | Agape Traders | Prosthetic/Orthotic Supplier | 562 Independence Rd Ste 142, East Stroudsburg, PA 18301-9702 | 2019-12-27 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1174172647 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 250 Cetronia Rd Ste 306, Allentown, PA 18104-9168 | 2019-09-08 |
| Find all providers with the same taxonomy | ||||
| City | BELLE VERNON |
| Zip Code | 15012 |
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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.