Provider Demographics
NPI:1851571012
Name:AMERICAN PROSTHETICS & ORTHOTICS, INC.
Entity Type:Organization
Organization Name:AMERICAN PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:515-224-0537
Mailing Address - Street 1:1250 NW 142ND ST
Mailing Address - Street 2:STE 200
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8346
Mailing Address - Country:US
Mailing Address - Phone:515-224-0537
Mailing Address - Fax:515-224-0491
Practice Address - Street 1:2300 53RD AVE
Practice Address - Street 2:SUITE LL03
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-7565
Practice Address - Country:US
Practice Address - Phone:563-332-2252
Practice Address - Fax:563-332-2262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PROSTHETICS & ORTHOTICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-05
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0330160010Medicare NSC