MEDICARE: ACE PROSTHETICS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	LP226	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750473195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	4971 ARLINGTON CENTRE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2910
Country	:	US
Telephone Number	:	614-291-8325
Fax Number	:	614-291-8342

Provider Business Practice Location Address
First Line	:	4971 ARLINGTON CENTRE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2910
Country	:	US
Telephone Number	:	614-291-8325
Fax Number	:	614-291-8342

Authorized Official
Title or Position	:	CERTIFIED PROSTHETIST
Name	:	MR. JOHN ALAN HAYS
Credential	:	C.P.
Telephone Number	:	614-291-8325

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	04/25/2017

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Directions to “ACE PROSTHETICS, INC. ” Practice Location

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