Provider Demographics
NPI:1023035714
Name:ADVANCED ORTHOPEDIC PRODUCTS & SERVICES, INC.
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDIC PRODUCTS & SERVICES, INC.
Other - Org Name:A.O.P. INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCVEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-752-7422
Mailing Address - Street 1:450 WEST RUSSELL STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301
Mailing Address - Country:US
Mailing Address - Phone:252-752-7422
Mailing Address - Fax:910-484-4909
Practice Address - Street 1:450 W RUSSELL ST
Practice Address - Street 2:SUITE 102
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5575
Practice Address - Country:US
Practice Address - Phone:910-484-4901
Practice Address - Fax:910-484-4909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0426EOtherBCBS
NC8238882OtherUHC
NC7701761Medicaid
NC8238882OtherUHC