Provider Demographics
NPI:1265638720
Name:PLATTNER ORTHOPEDIC COMPANY
Entity Type:Organization
Organization Name:PLATTNER ORTHOPEDIC COMPANY
Other - Org Name:HANGER CLINIC PLATTNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:3691 COUGAR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PERU
Mailing Address - State:IL
Mailing Address - Zip Code:61354-9302
Mailing Address - Country:US
Mailing Address - Phone:815-220-1382
Mailing Address - Fax:815-220-1300
Practice Address - Street 1:3691 COUGAR DR
Practice Address - Street 2:SUITE A
Practice Address - City:PERU
Practice Address - State:IL
Practice Address - Zip Code:61354-9302
Practice Address - Country:US
Practice Address - Phone:815-220-1382
Practice Address - Fax:815-220-1300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-22
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL0195570001Medicare NSC
IL7280003Medicare UPIN