MEDICAL ART PROSTHETICS, LLC (NPI# 1003946195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003946195 |
| Entity Type | Organization |
| Organization Name | MEDICAL ART PROSTHETICS, LLC |
| Practice Address |
7818 Big Sky Dr Suite 111 Madison WI 53719-3524 |
| Practice Telephone | 6088337002 |
| Practice Fax Number | 6088337090 |
| Mailing Telephone | 6088337002 |
| Mailing Fax Number | 6088337090 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-08-28 |
| Authorized Official Name | MR. GREGORY GAFFNEY GION (OWNER) |
| Authorized Official Telephone | 6088337002 |
| Authorized Official Credential | C.C.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 229N00000X | Anaplastologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 086930701 | 05 | |
| WI | NPI FOR WISCONSIN | 1003946195 | 01 |
| TX | NPI FOR TEXAS FACILITY | 1932295987 | 01 |
| WI | 41753500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932295987 | Medical Art Prosthetics, LLC | Anaplastologist | 10501 N Central Expy, Suite 314, Dallas, TX 75231-2220 | 2006-10-05 |
| Street Address |
7818 BIG SKY DR SUITE 111 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190592 | Heidi Jane Sonnenburg | Occupational Therapist | 7818 Big Sky Dr, Suite 106, Madison, WI 53719-3524 | 2006-06-09 |
| 1821569344 | Rachel Lee Bysted | Marriage & Family Therapist | 7818 Big Sky Dr, Madison, WI 53719-3524 | 2018-12-10 |
| 1346745635 | Janyl Kozelka | Marriage & Family Therapist | 7818 Big Sky Dr, Madison, WI 53719-3524 | 2018-03-28 |
| 1760915052 | Caroline Scheidler | Marriage & Family Therapist | 7818 Big Sky Dr, 101, Madison, WI 53719-3524 | 2017-04-04 |
| 1073054664 | Eric James Johnson | Chiropractor | 7818 Big Sky Dr, Suite 215, Madison, WI 53719-3524 | 2017-03-15 |
| 1508300062 | Lynn M Peyton | Social Worker | 7818 Big Sky Dr, Suite 210, Madison, WI 53719-3524 | 2016-12-16 |
| 1124474580 | Lauren E Davis | Marriage & Family Therapist | 7818 Big Sky Dr, 101, Madison, WI 53719-3524 | 2016-05-04 |
| 1316392236 | Erika Blain | Marriage & Family Therapist | 7818 Big Sky Dr, Suite 101, Madison, WI 53719 | 2016-04-28 |
| 1972969400 | Emily Vander Velden | Counselor | 7818 Big Sky Dr, #101, Madison, WI 53719-3524 | 2016-01-13 |
| 1730569989 | Jennifer Fortune | Social Worker | 7818 Big Sky Dr, Suite #101, Madison, WI 53719-3524 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 229N00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Anaplastologist |
| An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). |
| Notes: Source: American Anaplastology Association, www.anaplastology.org. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117642 | Julie Jordan Brown | Anaplastologist | 3400 S 103rd St Ste 200, Milwaukee, WI 53227-4163 | 2018-03-09 |
| 1184182578 | Megan Spindel Thomas | Anaplastologist | 3400 S 103rd St Ste 200, Milwaukee, WI 53227-4163 | 2019-03-05 |
Please comment or provide details below to improve the information on MEDICAL ART PROSTHETICS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.