MICHAEL AMOS (NPI# 1053679050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053679050 |
| Entity Type | Individual |
| Full Name | MICHAEL AMOS |
| Credential | LCPO |
| Practice Address |
3395 Plaza 10 Dr Ste D Beaumont TX 77707-2555 |
| Practice Telephone | 4098385473 |
| Practice Fax Number | 4098385523 |
| Mailing Telephone | 4098385473 |
| Mailing Fax Number | 4098385523 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 403 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 403 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114023876 | Michael Edward Amos | Optometrist | 8056 161st Ave Ne, Redmond, WA 98052-3807 | 2006-09-16 |
| 1073178570 | Michael Amos | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2019-05-09 |
| Street Address |
3395 PLAZA 10 DR STE D |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710050059 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 3395 Plaza 10 Dr Ste D, Beaumont, TX 77707-2555 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 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.