DAVIDSON PROSTHETICS LLC (NPI# 1033360409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033360409 |
| Entity Type | Organization |
| Organization Name | DAVIDSON PROSTHETICS LLC |
| Practice Address |
11919 Canyon Rd E Puyallup WA 98373-4456 |
| Practice Telephone | (253) 770-6578 |
| Practice Fax Number | 2538811397 |
| Mailing Telephone | (253) 770-6578 |
| Mailing Fax Number | 2538811397 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | GREG E DAVIDSON (OWNER) |
| Authorized Official Telephone | 2536518250 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO01874 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9062993 | 05 |
| Street Address |
11919 CANYON RD E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| 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 |
|---|---|---|---|---|
| 1528240041 | Michael Philip Podrasky | Prosthetic/Orthotic Supplier | 1004 E Main, Ste C, Puyallup, WA 98372-3125 | 2007-11-27 |
| 1912522053 | Durable Medical Equipment LLC | Prosthetic/Orthotic Supplier | 9909 168th St E Ste 102, Puyallup, WA 98375-2513 | 2020-06-15 |
| 1043765878 | Seattle Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
| 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.