Organization
DISTRICT ORTHOPEDIC APPLIANCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M GUARRASI CPO (CERTIFIED PROSTHETIST/ORTHOTIST CPO)
(703) 698-7373
Entity
Organization
Contact information
Practice address
7702 BACKLICK RD., SUITE D, SPRINGFIELD, VA 22150
(703) 698-7373
(703) 698-7374
Mailing address
7702 BACKLICK RD., SUITE D, SPRINGFIELD, VA 22150
(703) 698-7373
(703) 698-7374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009190520
—
VA
01
—
031668900
PROSTHETICS/ORTHOTICS/THERAPUETIC FOOTWEAR
DC
01
—
188916
AMERIGROUP
VA
05
—
23521
—
DC
05
—
258901000
—
MD
01
—
291468
ANTHEM BCBS
VA
01
—
4523
HEALTH RIGHT
DC
01
—
F604
BLUE CROSS BLUE SHIELD
DC
01
—
MG64
BLUE CROSS BLUE SHIELD
MD
Enumeration date
08/31/2006
Last updated
07/30/2018
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