Provider Demographics
NPI:1609143122
Name:ORTHOTEK, INC.
Entity Type:Organization
Organization Name:ORTHOTEK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:STEENHOEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-255-0952
Mailing Address - Street 1:1980 NW 94TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50325-6935
Mailing Address - Country:US
Mailing Address - Phone:515-255-0952
Mailing Address - Fax:515-255-1617
Practice Address - Street 1:2233 N RIDGE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1131
Practice Address - Country:US
Practice Address - Phone:316-243-4000
Practice Address - Fax:316-243-4776
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOTEK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies