Provider Demographics
NPI:1740495530
Name:NATIONAL PROSTHETICS AND ORTHOTICS PLLC
Entity type:Organization
Organization Name:NATIONAL PROSTHETICS AND ORTHOTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:COF
Authorized Official - Phone:859-442-0400
Mailing Address - Street 1:4200 ALEXANDRIA PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-3530
Mailing Address - Country:US
Mailing Address - Phone:859-442-0400
Mailing Address - Fax:859-442-0158
Practice Address - Street 1:4200 ALEXANDRIA PIKE
Practice Address - Street 2:SUITE C
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-3530
Practice Address - Country:US
Practice Address - Phone:859-442-0400
Practice Address - Fax:859-442-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000246457OtherBCBS PIN
KY90004938Medicaid
OH2328430Medicaid
KY1023796OtherACM UHC KY
OH1024081OtherACM UHC OH.
OH=========00OtherOH BWC
KY4451050001Medicare NSC