ELITE PROSTHETICS
NPI 1003886003
Prosthetic/Orthotic Supplier in Waco, TX

NPI Status: Active since January 24, 2006

Contact Information

2105 FRANKLIN AVE
WACO, TX
ZIP 76701
Phone: (254) 752-6352
Fax: (254) 714-2314

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About ELITE PROSTHETICS

This page provides the complete NPI Profile along with additional information for Elite Prosthetics, a provider established in Waco, Texas operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1003886003 assigned on January 2006. The practitioner's primary taxonomy code is 335E00000X with license number 101117 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Elite Prosthetics. The authorized official of this NPI record is Mr. Jon Emil Odling (President)

NPI
1003886003
Provider Legal Name
ELITE PROSTHETICS & ORTHOTICS INC
Other Organization Name
ELITE PROSTHETICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2105 FRANKLIN AVE WACO, TX 76701
Location Phone
(254) 752-6352
Location Fax
(254) 714-2314
Mailing Address
2105 FRANKLIN AVE WACO, TX 76701
Mailing Phone
(254) 752-6352
Mailing Fax
(254) 714-2314
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2006
Last Update Date
06-17-2013
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Elite Prosthetics is a medicare supplier with PTAN 20419649 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Limb Prostheses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
101117
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JON EMIL ODLING

Authorized Official Title
PRESIDENT
Authorized Official Phone
(254) 752-6352

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4710570001MEDICARE NSC (07)TX 
1708059-02MEDICAID (05)TX 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20419649
Accepts Medicare Assignment
NO
Specialities List
Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

Reviews for ELITE PROSTHETICS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003886003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031681200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 6 + 8 + 1 + 2 + 0 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003886003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003387218ELITE PROSTHETICS, INC.
Organization
Prosthetic/Orthotic Supplier2105 FRANKLIN AVE
WACO, TX 76701
(254) 752-6352

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003886003, enumerated in the NPI registry as an "organization" on January 24, 2006

The provider is located at 2105 Franklin Ave Waco, Tx 76701 and the phone number is (254) 752-6352

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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