MEDICARE: SENIOR DEVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	122300000X	Dentist
2	152W00000X	Optometrist
3	207N00000X	Dermatology Physician
4	207NS0135X	Procedural Dermatology Physician
5	207Q00000X	Family Medicine Physician
6	207QG0300X	Geriatric Medicine (Family Medicine) Physician
7	213E00000X	Podiatrist
8	213ES0103X	Foot & Ankle Surgery Podiatrist
9	231H00000X	Audiologist
10	237600000X	Audiologist-Hearing Aid Fitter
11	332BC3200X	Customized Equipment (DME)
12	335E00000X	Prosthetic/Orthotic Supplier
13	208D00000X	General Practice Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PENDING	OTHER	OH	MEDICARE CGS DME
2	PENDING	OTHER	OH	MEDICARE CGS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	PENDING	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1154787034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR DEVICES

Provider Business Mailing Address
First Line	:	102 N KEEL RIDGE RD
Second Line	:
City	:	HERMITAGE
State	:	PA
Zip	:	16148-3440
Country	:	US
Telephone Number	:	724-347-0591
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 N HIGH ST
Second Line	:	SUITE 200
City	:	NEW ALBANY
State	:	OH
Zip	:	43054-8532
Country	:	US
Telephone Number	:	800-471-8592
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MICHAEL CHRISTIAN ARMSTRONG
Credential	:	MD, MHSA
Telephone Number	:	724-347-0591

Provider Enumeration Date	:	01/08/2016
Last Update Date	:	01/19/2016

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Directions to “SENIOR DEVICES ” Practice Location

Language	Start Address	Practice Location

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