Russell E Steadele , CPO
Prosthetic/Orthotic Supplier • Hazleton, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Russell Steadele has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Russell Steadele, CPO was a registered Prosthetic/Orthotic Supplier practicing in Hazleton, PA. Throughout an active medical career spanning 16 years, Russell Steadele provided care at the practice location at 1053 N CHURCH ST until profile deactivation on 2022-04-12.
Practice Location & Contact Primary Location
1053 N Church St
Hazleton, PA 182021447
Specialty Benchmarks & Practice Insights
Comparative analytics for Prosthetic/Orthotic Supplier in Hazleton, PA
Practicing in Hazleton, PA (32 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 335E00000X
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.
Career & Practice History Timeline
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Record deactivated on April 12, 2022
NPI status registered as active in NPPES database
Registered at 1053 N CHURCH ST, HAZLETON, PA 182021447 (Tel: 5704557486)
Registered at MOUNTAIN CITY PROSTHETICS & ORTHOTICS, 1053 NORTH CHURCH STREET, HAZLETON, PA 182021447 (Tel: 5704557486)
Recorded as RUSSELL STEADELE, CPO
Prosthetic/Orthotic Supplier (License #6000003443 in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Mountain City Prosthetics & Orthotics, 1053 North Church Street
Hazleton, PA 182021447
Phone: 5704557486
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