Provider Demographics
NPI:1437103447
Name:BIOCARE ORTHOPEDIC PROSTHETIC &ORTHOTICS INC
Entity Type:Organization
Organization Name:BIOCARE ORTHOPEDIC PROSTHETIC &ORTHOTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDMUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-226-9707
Mailing Address - Street 1:162 INDUSTRY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275
Mailing Address - Country:US
Mailing Address - Phone:412-226-2707
Mailing Address - Fax:
Practice Address - Street 1:8889 BASIL WESTERN RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9276
Practice Address - Country:US
Practice Address - Phone:614-920-2811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2848486Medicaid
OH5709270001Medicare NSC