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MIDWEST ORTHOTIC SERVICES LLC
NPI 1184992190
Prosthetic/Orthotic Supplier in Mishawaka, IN

Active since December 05, 2011
611 E DOUGLAS RD, MISHAWAKA, IN 46545(574) 204-2416 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midwest Orthotic Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST ORTHOTIC SERVICES LLC (NPI 1184992190) is a healthcare organization registered as a prosthetic/orthotic supplier in Mishawaka, Indiana and active in the NPI registry since December 2011. The organization lists Tim Costello, Dir Of Operations, as its authorized official.

NPPES Registry Identity

NPI1184992190
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMIDWEST ORTHOTIC SERVICES LLC
Location Address611 E DOUGLAS RDMishawaka, IN 46545-1464
Mailing Address17530 Dugdale DrSouth Bend, IN 46635-1583 · (574) 233-3352
Phone(574) 204-2416
Organization SubpartNo
Authorized OfficialTim CostelloDir Of Operations · (574) 233-3352
Enumeration DateDecember 5, 2011
✔ NPI 1184992190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

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.

611 E DOUGLAS RD, Mishawaka, IN 46545
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PAMELA R CHANEY RN CMEP
Registered Nurse (Plastic Surgery)
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 968-3510
MIDWEST EYE CONSULTANTS, P.C.
Ophthalmology (Retina Specialist)
611 E DOUGLAS RD, SUITE 102
MISHAWAKA, IN 46545
St. Joseph County (260) 569-9550
NICHOLAS JAMES BUTTERMORE
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
DAVID WYNCOTT MD
Family Medicine
611 E DOUGLAS RD, SUITE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIDWEST MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, SUITE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
DR. AJAZUDDIN Z. SHAIKH M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
KEVIN R ERICSON MD
Family Medicine
611 E DOUGLAS RD, STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
ZACHARY JOE MARANAR LESHEN M.D.
Internal Medicine (Interventional Cardiology)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Orthotic Services LLC's NPI number?

The NPI number for Midwest Orthotic Services LLC is 1184992190. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Midwest Orthotic Services LLC located?

Midwest Orthotic Services LLC is located at 611 E Douglas Rd, Mishawaka, IN 46545. The listed phone number is (574) 204-2416.

What is Midwest Orthotic Services LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Midwest Orthotic Services LLC was last updated on December 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.