SPINESOURCE AMERICA, L.L.C (NPI# 1124025333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124025333 |
| Entity Type | Organization |
| Organization Name | SPINESOURCE AMERICA, L.L.C |
| Practice Address |
354 Waller Ave Ste. 110 Lexington KY 40504-2928 |
| Mailing Address |
354 Waller Ave Ste. 102 Lexington KY 40504-2916 |
| Practice Telephone | 8592608576 |
| Practice Fax Number | 8592011088 |
| Mailing Telephone | 8592608576 |
| Mailing Fax Number | 8592011088 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JIM M CLIFTON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8592608576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SPINESOURCE AMERICA, L.L.C. | 354 Waller Avenue, Suite 150, Lexington, KY 40504 |
| Street Address |
354 WALLER AVE STE. 110 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922219294 | John E. Pappas | Internal Medicine | 354 Waller Ave, Suite 110, Lexington, KY 40504-2928 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1942656145 | Floyd Brace Company, Inc. | Prosthetic/Orthotic Supplier | 147 Vera Rd, Suite F, Lexington, SC 29072-3756 | 2016-05-06 |
| 1740535020 | Bb&e Medical Solutions LLC | Prosthetic/Orthotic Supplier | 65 Woods Edge Dr, Lexington, VA 24450-1874 | 2012-07-23 |
| 1578746988 | Lisa Thomason Jester | Prosthetic/Orthotic Supplier | 28 E 1st St, Lexington, NC 27292-3402 | 2007-12-07 |
| 1275628430 | Central Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 3295 Eagle View Lane, Lexington, KY 40509-1852 | 2006-10-04 |
| 1144247925 | Prosthetic and Orthotic Associates,llc | Prosthetic/Orthotic Supplier | 395 Elaine Dr, Suite 120, Lexington, KY 40504-2705 | 2006-07-16 |
| 1902801996 | Kenney Orthopedic, LLC | Prosthetic/Orthotic Supplier | 449 Lewis Hargett Cir, Suite 110, Lexington, KY 40503-3668 | 2005-06-16 |
| 1578937876 | Pediatric Orthotic and Prosthetic Services-midwest, LLC | Prosthetic/Orthotic Supplier | 110 Conn Ter, Lexington, KY 40508-3206 | 2015-11-24 |
| 1891055232 | Bracing Mascetomy and Orthotics Inc | Prosthetic/Orthotic Supplier | 100 Old Cherokee Rd Ste F, Lexington, SC 29072-7959 | 2012-05-19 |
| 1750610002 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 171 N Eagle Creek Dr, Suite 102, Lexington, KY 40509-1801 | 2009-12-16 |
| Find all providers in LEXINGTON | ||||
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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.