Provider Demographics
NPI:1780776187
Name:ANATOMICAL DESIGNS, INC.
Entity type:Organization
Organization Name:ANATOMICAL DESIGNS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANDON
Authorized Official - Middle Name:H
Authorized Official - Last Name:HIME
Authorized Official - Suffix:
Authorized Official - Credentials:CP, FAAOP
Authorized Official - Phone:800-418-0313
Mailing Address - Street 1:383 DIXON BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3967
Mailing Address - Country:US
Mailing Address - Phone:724-430-1470
Mailing Address - Fax:724-430-1472
Practice Address - Street 1:1600 MURDOCH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3248
Practice Address - Country:US
Practice Address - Phone:304-485-1345
Practice Address - Fax:304-485-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV25181274600OtherWV WORKERS COMP
WV251812746001OtherACCORDIA/PEIA
WVDME746OtherTHE HEALTH PLAN
WVUNISYSMedicaid
WV251812746OtherTRICARE
WV001704954OtherMT. STATE BLUE SHIELD
WV001704954OtherMT. STATE BLUE SHIELD
WV6357080001Medicare NSC