MERCADO ORTHOTICS & PROSTHETICS – NPI #1174274203
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

MERCADO ORTHOTICS & PROSTHETICS is a DME Supplier located in KEENE, NH. NPPES has assigned the NPI number 1174274203 to MERCADO ORTHOTICS & PROSTHETICS on January 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 4 years ago on Jan 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCADO ORTHOTICS & PROSTHETICS below.

NPI Profile for
MERCADO ORTHOTICS & PROSTHETICS

NPI Number
1174274203
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCADO ORTHOTICS & PROSTHETICS
Primary location
580 COURT STREET
LEVEL LA
KEENE, NH 03431-1718
Phone: (603) 354-5400 Fax: (888) 494-1402
Mailing address
PO BOX 15108
SPRINGFIELD, MA 01115-5108
Phone: (413) 750-9915 Fax: (877) 331-0490
Organization Subpart
No
Authorized Official
AUDREY MOORE
OWNER
Phone: (413) 750-9915
Updated
Certification Date
Jan 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.