BOLAND PROSTHETIC & ORTHOTIC CENTER LLC (NPI# 1013440718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013440718 |
| Entity Type | Organization |
| Organization Name | BOLAND PROSTHETIC & ORTHOTIC CENTER LLC |
| Other Organization Name | BOLAND PROSTHETIC & ORTHOTIC CENTER LLC |
| Practice Address |
5223 Riverside Dr Suite 104 Macon GA 31210-0888 |
| Practice Telephone | 4789965191 |
| Practice Fax Number | 4789532927 |
| Mailing Telephone | 4789965191 |
| Mailing Fax Number | 4789532927 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | MR. PAUL A BOLAND (OWNER) |
| Authorized Official Telephone | 4789532922 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 300760100 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Boland Prosthetic & Orthotic Center LLC | Former Legal Business Name - Organization |
| Street Address |
5223 RIVERSIDE DR SUITE 104 |
| City | MACON |
| State | GA |
| Zip Code | 31210-0888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073662540 | Kathy Powers Welch | Dentist | 5223 Riverside Dr, Suite 104, Macon, GA 31210-1050 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740009 | Georgia Medical Devices, LLC | Prosthetic/Orthotic Supplier | 487 Cherry St, Fl 3, Macon, GA 31201-7972 | 2015-09-16 |
| 1780981282 | Todd Lamar Hyde | Prosthetic/Orthotic Supplier | 3715 Vineville Ave, Suite B, Macon, GA 31204-1854 | 2011-02-17 |
| 1326041732 | Baconsfield Homecare Equipment Inc | Prosthetic/Orthotic Supplier | 1042 Gray Hwy, Macon, GA 31211-1837 | 2005-05-31 |
| 1154693778 | Mediquip Rehabilitative Equipment & Supplies Plus LLC | Prosthetic/Orthotic Supplier | 808 Pio Nono Ave, Macon, GA 31204-3536 | 2012-01-27 |
| 1417237694 | Orthopro Services, LLC | Prosthetic/Orthotic Supplier | 458 Hemlock St, Suite 100a, Macon, GA 31201-4200 | 2011-08-19 |
| 1467623124 | Pediatric Mobility | Prosthetic/Orthotic Supplier | 130 College St, Macon, GA 31201-1607 | 2008-03-20 |
| 1013949247 | Amputee Prosthetic Clinic, Co. | Prosthetic/Orthotic Supplier | 4900 Mercer University Dr, Macon, GA 31210-6239 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1447860150 | Shadae Renee Medical Wigs | Prosthetic/Orthotic Supplier | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 | 2020-08-06 |
| 1114535432 | Beauty Zone2 Medical Wigs | Prosthetic/Orthotic Supplier | 252 Keys Ferry St, Mcdonough, GA 30253-3342 | 2020-07-22 |
| 1619594389 | Legally Laced | Prosthetic/Orthotic Supplier | 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 | 2020-06-29 |
| 1093332009 | Jazzy Wigs, Rx | Prosthetic/Orthotic Supplier | 59 Urey Emerson Dr, Richland, GA 31825-6636 | 2020-06-25 |
| 1174147938 | Salon Asya Mignon LLC | Prosthetic/Orthotic Supplier | 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 | 2020-06-07 |
| 1023630928 | Michelles Beauty Bar | Prosthetic/Orthotic Supplier | 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 | 2020-05-13 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1518503432 | Regina Murff-love | Prosthetic/Orthotic Supplier | 341 Indus Ln, Lawrenceville, GA 30044-3835 | 2019-11-26 |
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.