PALMETTO PROSTHETICS AND ORTHOTICS, INC. (NPI# 1033161773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033161773 |
| Entity Type | Organization |
| Organization Name | PALMETTO PROSTHETICS AND ORTHOTICS, INC. |
| Practice Address |
451 W Cheves St Florence SC 29501-4446 |
| Practice Telephone | 8436739222 |
| Practice Fax Number | 8436730333 |
| Mailing Telephone | 8436739222 |
| Mailing Fax Number | 8436730333 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | JOHN L MOYD (OWNER/CPO) |
| Authorized Official Telephone | 8436739222 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7701735 | 05 | |
| SC | DME769 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114234135 | Palmetto Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 108 N 5th Ave, Dillon, SC 29536-3306 | 2010-09-13 |
| Street Address |
451 W CHEVES ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416870 | Tavon Johnson | Durable Medical Equipment & Medical Supplies | 5251 Hutton Ct, Florence, SC 29506-3466 | 2020-04-20 |
| 1255814224 | Bama Pool Construction, Inc. | Durable Medical Equipment & Medical Supplies | 3602 Cloverdale Road, Florence, AL 35633 | 2018-09-14 |
| 1154814630 | Palmetto Infusion Services, LLC | Durable Medical Equipment & Medical Supplies | 161 Dozier Blvd Ste 100, Florence, SC 29501-4026 | 2018-06-11 |
| 1639678816 | Pinnacle Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 220 W Tennessee St Ste 101, Florence, AL 35630-5424 | 2018-02-02 |
| 1134627185 | Inco-med LLC | Durable Medical Equipment & Medical Supplies | 2267 Simpson Highway 469, Florence, MS 39073-7409 | 2018-01-24 |
| 1316484769 | Barbara Fulmore | Durable Medical Equipment & Medical Supplies | 1105 Old Ebenezer Rd Apt E, Florence, SC 29501-8058 | 2017-01-24 |
| 1366830408 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 726 S Irby St, Florence, SC 29501-5214 | 2014-12-23 |
| 1497159305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 804 S Cashua Dr, Florence, SC 29501-6311 | 2014-10-21 |
| 1568800217 | Marble City Health and Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 416 N Seminary St Ste 1400, Florence, AL 35630-4688 | 2013-06-04 |
| 1356685044 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 322 Cox Creek Pkwy, Florence, AL 35630-1540 | 2012-11-19 |
| Find all providers in FLORENCE | ||||
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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.