Provider Demographics
NPI:1215913413
Name:ANATOMICAL DESIGNS, INC.
Entity type:Organization
Organization Name:ANATOMICAL DESIGNS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANDON
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:HIME
Authorized Official - Suffix:
Authorized Official - Credentials:CP, FAAOP
Authorized Official - Phone:724-430-1470
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 1:383 DIXON BLVD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3967
Practice Address - Country:US
Practice Address - Phone:724-430-1470
Practice Address - Fax:724-430-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP9094OtherHOMELINK
PA97817OtherHEALTH ASSURANCE
PA6159011OtherCIGNA
PA0017554690001Medicaid
PA112893OtherMED PLUS
PA001704953OtherMT. STATE BC/BS
PA97817OtherADVANTRA
PABC/BSOther1567946
PA97817OtherHEALTH AMERICA
PA2429704OtherAETNA
PAP9094OtherHOMELINK
PA1241020001Medicare NSC