AMERISTEP PROSTHETICS SOUTHWESTERN (NPI# 1043820327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043820327 |
| Entity Type | Organization |
| Organization Name | AMERISTEP PROSTHETICS SOUTHWESTERN |
| Practice Address |
5406 Harry Hines Blvd Dallas TX 75235-7211 |
| Mailing Address |
5000 El Dorado Pkwy 150-284 Dallas TX 75033 |
| Practice Telephone | 8172512220 |
| Practice Fax Number | 8669815223 |
| Mailing Telephone | 6823047500 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | LINDSEY NICOLE HOLDERBY (EXECUTIVE ASSSISTANT) |
| Authorized Official Telephone | 6823047500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
5406 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| 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 |
|---|---|---|---|---|
| 1912535121 | Marvin Friedman | Prosthetic/Orthotic Supplier | 13601 Preston Rd Ste 205w, Dallas, TX 75240-4947 | 2020-04-01 |
| 1841780962 | Ashley Ferguson | Prosthetic/Orthotic Supplier | 1811 Greenville Ave Ste 100, Dallas, TX 75206-7485 | 2018-05-14 |
| 1902307937 | Myhair, LLC | Prosthetic/Orthotic Supplier | 1408 N Riverfront Blvd # 304, Dallas, TX 75207-3912 | 2018-02-25 |
| 1326585506 | Tiffany Rodgers | Prosthetic/Orthotic Supplier | 6632 Mattney Dr, Dallas, TX 75237-2447 | 2017-01-25 |
| 1528469764 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1311 Record Crossing Rd, Dallas, TX 75235-6003 | 2014-09-08 |
| 1417244195 | Scott Sabolich Prosthetic and Research LLC | Prosthetic/Orthotic Supplier | 15900 Preston Rd, Dallas, TX 75248-3551 | 2011-07-01 |
| 1215262373 | Reliant Prosthetics | Prosthetic/Orthotic Supplier | 5481 Blair Rd Ste 100, Dallas, TX 75231-4101 | 2009-10-07 |
| 1760668552 | O & P Designs, Inc. | Prosthetic/Orthotic Supplier | 10525 Newkirk St, Suite 260, Dallas, TX 75220-2330 | 2008-01-11 |
| 1134326614 | Belt Line Medical Supply | Prosthetic/Orthotic Supplier | 7989 Belt Line Rd, Suite # 109, Dallas, TX 75248-5734 | 2007-06-28 |
| 1780707786 | Mcmahan Shoes, Inc. | Prosthetic/Orthotic Supplier | 3903 Gaston Ave, Dallas, TX 75246-1512 | 2007-04-06 |
| Find all providers in DALLAS | ||||
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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.