SPECTRUM ORTHOTICS & PROSTHETICS NPI 1003020066

Prosthetic/Orthotic Supplier in Roseburg, OR

Organization Prosthetic/Orthotic Supplier Medicare Supplier Does Not Accept Medicare Approved Payment

About SPECTRUM ORTHOTICS & PROSTHETICS

Spectrum Orthotics & Prosthetics is a provider established in Roseburg, Oregon specializing in Prosthetic/orthotic Supplier. The NPI number of Spectrum Orthotics & Prosthetics is 1003020066 and was assigned on May 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Spectrum Orthotics & Prosthetics. The authorized official of this NPI record is Forest Sexton Cpo (Member)

NPI

1003020066

Provider NameSPECTRUM ORTHOTICS & PROSTHETICS
Provider Location Address2504 NW MEDICAL PARK DR ROSEBURG, OR 97471
Provider Mailing Address300 UNION AVE STE C GRANTS PASS, OR 97527
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSPECTRUM ORTHOTICS & PROSTHETICS
Other Name TypeOther Name (5)
Enumeration Date05-09-2007
Last Update Date01-13-2022



Spectrum Orthotics & Prosthetics is a medicare supplier with PTAN 6531140002 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.



Primary Taxonomy

Taxonomy Code335E00000X
ClassificationProsthetic/Orthotic Supplier
TypeSuppliers
Taxonomy DescriptionAn 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.

Business Address

SPECTRUM ORTHOTICS & PROSTHETICS
2504 NW MEDICAL PARK DR
ROSEBURG, OR
ZIP 97471
Phone: (541) 673-1275
Fax: (541) 471-4909

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Mailing Address

SPECTRUM ORTHOTICS & PROSTHETICS
300 UNION AVE STE C
GRANTS PASS, OR
ZIP 97527
Phone: (541) 955-9678
Fax: (541) 471-4909


Authorized Official

Authorized Official Name FOREST SEXTON CPO
Authorized Official TitleMEMBER
Authorized Official Phone(541) 734-2435

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN6531140002
Accepts Medicare AssignmentNO
Specialities ListMSC With Orthotic Personnel, MSC With Prosthetic Personnel, Orthotic Personnel, Prosthetic Personnel.
Provider Type ListPEDORTHIC PERSONNEL, MEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL.
Supplies List
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003020066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003020012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 0 + 0 + 1 + 2 + 24 = 34
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 34 = 66

The NPI number 1003020066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902152663MRS. RAMONA TAESOON LEE RD, LD, CNSD
Individual
Dietitian, Registered2504 NW MEDICAL PARK DR
ROSEBURG, OR 97471
(541) 957-0111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Spectrum Orthotics & Prosthetics is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.