HANGER PROSTHETICS & ORTHOTICS WEST INC (NPI# 1962576827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962576827 |
| Entity Type | Organization |
| Organization Name | HANGER PROSTHETICS & ORTHOTICS WEST INC |
| Other Organization Name | HANGER CLINIC |
| Practice Address |
2704 N Stockton Hill Rd Kingman AZ 86401-4177 |
| Mailing Address |
4155 E La Palma Ave Ste B400 Anaheim CA 92807-1857 |
| Practice Telephone | 9287182301 |
| Mailing Telephone | 9287182301 |
| Mailing Fax Number | 7372096653 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | GRACE ANGELINE (REG COMPLIANCE SPECIALIST III) |
| Authorized Official Telephone | 7149612102 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 642307 | 05 | |
| CA | GXC000424 | 05 |
| Other Name | Type Code |
|---|---|
| Hanger Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564578 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 9137 Ridgeline Blvd Ste 250, Highlands Ranch, CO 80129-2753 | 2020-07-02 |
| 1710533765 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 701 N Miller St Ste B, Wenatchee, WA 98801-3904 | 2019-08-15 |
| 1982057394 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 2930 E Inland Empire Blvd, Ste 110, Ontario, CA 91764-4802 | 2016-07-20 |
| 1508252032 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 1221 E Spruce Ave Ste C, Fresno, CA 93720 | 2015-04-10 |
| 1023410602 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 2020 Colorado Ave Ste B, Turlock, CA 95382-2017 | 2014-09-25 |
| 1073912093 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 3555 Erickson St, Gig Harbor, WA 98335-1268 | 2014-08-14 |
| 1356768261 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 100 Pacifica, Ste 270, Irvine, CA 92618-7447 | 2014-03-28 |
| 1639421860 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 1660 S Second St, Gallup, NM 87301-5817 | 2012-10-11 |
| 1255683488 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 343 S Camino Del Rio Ste H, Durango, CO 81303-7997 | 2012-10-11 |
| 1033348024 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 5225 Hwy 95, Suite 7, Fort Mohave, AZ 86426-9111 | 2009-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST INC | 1270 E Garvey Ave Ste 145, Covina, CA 91724-3658 |
| Street Address |
2704 N STOCKTON HILL RD |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| 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 |
|---|---|---|---|---|
| 1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
| 1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1548787930 | Limb Center LLC | Prosthetic/Orthotic Supplier | 3020 N 44th St, Phoenix, AZ 85018-7206 | 2017-08-25 |
| 1003341959 | Team Makena LLC | Prosthetic/Orthotic Supplier | 3702 E Roeser Rd, 4, Phoenix, AZ 85040-9046 | 2017-04-28 |
| 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.