Provider Demographics
NPI:1225219363
Name:ACOR ORTHOPAEDIC, INC.
Entity Type:Organization
Organization Name:ACOR ORTHOPAEDIC, INC.
Other - Org Name:CLEVELAND PROSTHETIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAIMO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:216-662-4500
Mailing Address - Street 1:18530 S MILES RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4238
Mailing Address - Country:US
Mailing Address - Phone:216-662-4500
Mailing Address - Fax:
Practice Address - Street 1:18700 S MILES RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-4242
Practice Address - Country:US
Practice Address - Phone:216-662-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0179470005Medicare NSC