Provider Demographics
NPI:1528291671
Name:ADVANCED ORTHOPEDIC PRODUCTS & SERVICES, INC.
Entity type:Organization
Organization Name:ADVANCED ORTHOPEDIC PRODUCTS & SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCVEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-752-7422
Mailing Address - Street 1:835 JOHNS HOPKINS DR STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7268
Mailing Address - Country:US
Mailing Address - Phone:252-752-7422
Mailing Address - Fax:252-752-5424
Practice Address - Street 1:835 JOHNS HOPKINS DR STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7268
Practice Address - Country:US
Practice Address - Phone:252-752-7422
Practice Address - Fax:252-752-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705089Medicaid
NC8238882OtherUHC
NC0426EOtherBCBS/NC
NC0426EOtherBCBS/NC