BLUE SKY ORTHOTIC AND PROSTHETICS (NPI# 1023510369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023510369 |
| Entity Type | Organization |
| Organization Name | BLUE SKY ORTHOTIC AND PROSTHETICS |
| Practice Address |
1104 W 34th St Bldg A Austin TX 78705-1908 |
| Practice Telephone | 9702311313 |
| Practice Fax Number | 5125058886 |
| Mailing Telephone | 9702311313 |
| Mailing Fax Number | 5125058886 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | AARON ERWIN FOREMAN (PRESIDENT) |
| Authorized Official Telephone | 9702311313 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE SKY ORTHOTIC AND PROSTHETICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101598 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822170 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 3141 Eagles Nest St Unit 220, Round Rock, TX 78665-2334 | 2019-10-17 |
| 1376045617 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 3411 Market Loop Ste 112, Temple, TX 76502-2771 | 2018-03-02 |
| 1457728560 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 2611 E 29th St, Bryan, TX 77802-2502 | 2015-08-24 |
| Street Address |
1104 W 34TH ST BLDG A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| 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 |
|---|---|---|---|---|
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396302493 | Neu Limbs, LLC | Prosthetic/Orthotic Supplier | 111 W Anderson Ln Ste A102, Austin, TX 78752-1132 | 2019-05-23 |
| 1891261046 | Axis Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 8906 Wall St Ste 608, Austin, TX 78754-4545 | 2018-10-15 |
| 1558843607 | Opsolutions, LLC | Prosthetic/Orthotic Supplier | 706 W Ben White Blvd Ste 194, Austin, TX 78704-8124 | 2018-09-05 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1255887519 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3111 Palm Way, Austin, TX 78758 | 2016-08-28 |
| 1053779231 | Capital Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 209 E Ben White Blvd Ste 204, Austin, TX 78704-7390 | 2016-02-03 |
| 1780059576 | The Postureperfector LLC | Prosthetic/Orthotic Supplier | 8302 Cornerwood Dr, Austin, TX 78717-5336 | 2015-12-06 |
| 1033552443 | Austin Prosthetic Center, Inc | Prosthetic/Orthotic Supplier | 1005 E Saint Elmo Rd Bldg 9, Austin, TX 78745-1233 | 2013-04-16 |
| Find all providers in AUSTIN | ||||
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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.