Provider Demographics
NPI:1598859282
Name:UNION ORTHOTICS & PROSTHETICS CO
Entity Type:Organization
Organization Name:UNION ORTHOTICS & PROSTHETICS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LEIMKUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:412-622-2020
Mailing Address - Street 1:3424 LIBERTY AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1323
Mailing Address - Country:US
Mailing Address - Phone:412-622-2020
Mailing Address - Fax:412-621-6315
Practice Address - Street 1:3424 LIBERTY AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-1323
Practice Address - Country:US
Practice Address - Phone:412-622-2020
Practice Address - Fax:412-621-6315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007341440006Medicaid
PA0331550001Medicare NSC