SUMMIT ORTHOTICS & PROSTHETICS (WILLAMETTE ORTHOTICS & PROSTHETICS LLC) NPI 1003046277

Prosthetic/Orthotic Supplier in Eugene, OR

NPI 1003046277 Organization Prosthetic/Orthotic Supplier Medicare Supplier Accepts Medicare Approved Payment

About SUMMIT ORTHOTICS & PROSTHETICS (WILLAMETTE ORTHOTICS & PROSTHETICS LLC)

Summit Orthotics & Prosthetics (willamette Orthotics & Prosthetics Llc) is a provider established in Eugene, Oregon specializing in prosthetic/orthotic supplier. The NPI number of Summit Orthotics & Prosthetics (willamette Orthotics & Prosthetics Llc) is 1003046277 and was assigned on July 2009. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Summit Orthotics & Prosthetics. The authorized official of this NPI record is Todd J Nelson (President)

Summit Orthotics & Prosthetics is a medicare supplier with PTAN 3976240009 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Custom Fabricated or Diabetic Shoes/Inserts - Custom or Limb Prostheses or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts.

NPI

1003046277

Provider NameSUMMIT ORTHOTICS & PROSTHETICS (WILLAMETTE ORTHOTICS & PROSTHETICS LLC)
Provider Location Address935 WILLAGILLESPIE RD SUITE B EUGENE, OR 97401
Provider Mailing AddressPO BOX 7339 SALEM, OR 97303
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSUMMIT ORTHOTICS & PROSTHETICS
Other Name TypeDoing Business As (3)
Enumeration Date07-21-2009
Last Update Date09-06-2016


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

SUMMIT ORTHOTICS & PROSTHETICS
935 WILLAGILLESPIE RD
SUITE B
EUGENE, OR
ZIP 97401
Phone: (541) 743-0612
Fax: (541) 743-0613

Get Directions


Mailing Address

SUMMIT ORTHOTICS & PROSTHETICS
PO BOX 7339
SALEM, OR
ZIP 97303
Phone: (503) 364-6006
Fax: (503) 364-6046



Authorized Official

Authorized Official Name TODD J NELSON
Authorized Official TitlePRESIDENT
Authorized Official Phone(503) 364-6006

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN3976240009
Accepts Medicare AssignmentYES
Specialities ListOrthotic Personnel, Prosthetic Personnel.
Provider Type ListCERTIFIED ORTH/PROS/PEDORTHIST.
Supplies List
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
Competitive BiddingNO

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3976240009MEDICARE NSC (07)OR

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174838635NW PHARMACEUTICAL COMPOUNDING, INC
Organization
Pharmacy (Compounding Pharmacy)935 WILLAGILLESPIE RD SUITE B
EUGENE, OR 97401
(541) 431-7377
1831268309DR. JOSEPH PAUL ARPAIA M.D.
Individual
Psychiatry & Neurology (Psychiatry)935 WILLAGILLESPIE RD SUITE A
EUGENE, OR 97401
(541) 683-0644
1366835423JOSEPH P. ARPAIA M.D. LLC
Organization
Psychologist (Prescribing (Medical))935 WILLAGILLESPIE RD
EUGENE, OR 97401
(541) 683-0644
1316512700 HALEY RICE
Individual
Counselor (Professional)935 WILLAGILLESPIE RD
EUGENE, OR 97401
(541) 554-3446

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
The code describing 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.