LAUREL MEDICAL SUPPLIES, INC. (NPI# 1144459181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144459181 |
Entity Type | Organization |
Organization Name | LAUREL MEDICAL SUPPLIES, INC. |
Other Organization Name | GOLDEN ORTHOTICS AND PROTHETICS |
Practice Address |
214 College Park Plz Suite 111 Johnstown PA 15904-2833 |
Practice Telephone | 8003381702 |
Practice Fax Number | 8144727555 |
Mailing Telephone | 8003381702 |
Mailing Fax Number | 8144727555 |
Enumeration Date | 2009-07-13 |
Last Update Date | 2011-05-20 |
Authorized Official Name | MR. JOHN J. LETIZIA (PRESIDENT) |
Authorized Official Telephone | 8003381702 |
Is Organization Subpart | Y |
Parent Organization Name | LAUREL MEDICAL SUPPLIES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | 6000007426 | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 001098403 | 05 |
Other Name | Type Code |
---|---|
Golden Orthotics and Prothetics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104081496 | Laurel Medical Supplies, Inc. | Prosthetic/Orthotic Supplier | 1792 Old Route 220 North, Duncansville, PA 16635 | 2008-07-25 |
1073787834 | Laurel Medical Supplies, Inc. | Prosthetic/Orthotic Supplier | 179b Thomas Johnson Drive, Frederick, MD 21702-4871 | 2008-04-14 |
1891777348 | Laurel Medical Supplies, Inc. | Prosthetic/Orthotic Supplier | 405 S West St, Ebensburg, PA 15931-1800 | 2005-11-18 |
Street Address |
214 COLLEGE PARK PLZ SUITE 111 |
City | JOHNSTOWN |
State | PA |
Zip Code | 15904-2833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073573010 | Nulton Diagnostic & Treatment Center, PC | Community/Behavioral Health | 214 College Park Plz, Johnstown, PA 15904-2833 | 2006-03-24 |
1710519269 | Gemma Elizabeth Rusnak | Social Worker | 214 College Park Plz, Johnstown, PA 15904-2833 | 2020-02-12 |
1073070231 | Janelle Marie Flook | Behavior Technician | 214 College Park Plz, Johnstown, PA 15904-2833 | 2019-02-25 |
1790258986 | Sarah Lynette Fisher | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2019-01-10 |
1780152637 | Alisha Mae Blough | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2018-11-08 |
1255824686 | Jordan Louise Koontz | Physician Assistant | 214 College Park Plz, Johnstown, PA 15904-2833 | 2018-06-11 |
1770094336 | Kelley S Limerick-hand | Counselor | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-10-23 |
1174032064 | Natalie M Ramos | Licensed Practical Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-24 |
1386153526 | Tara Lucas | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-20 |
1710406079 | Sarah Loveridge | Social Worker | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
Find all providers in zip 15904 |
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 |
---|---|---|---|---|
1982058327 | Western Pennsylvania Orthopedic and Sports Medicine, Inc. | Prosthetic/Orthotic Supplier | 1450 Scalp Ave, Suite 1055, Johnstown, PA 15904-3321 | 2016-04-22 |
1700260502 | Union Orthotics & Prosthetics Co. | Prosthetic/Orthotic Supplier | 969 Eisenhower Blvd, Suite D, Johnstown, PA 15904-3326 | 2015-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041030 | Lawall At Hershey, Inc | Prosthetic/Orthotic Supplier | 2020 Good Hope Rd Lawall At Hershey Inc, Suite 220, 2nd Floor, Enola, PA 17025-1237 | 2020-10-22 |
1518573435 | Harry J. Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 21 N Main St,harry J. Lawall & Son, Inc, Suite 3, Coopersburg, PA 18036-1561 | 2020-09-16 |
1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
1003438177 | Tosi's Hair Replacement Clinic, Inc. | Prosthetic/Orthotic Supplier | 390 Slocum Ave, Exeter, PA 18643-1194 | 2020-05-12 |
1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
1164055620 | Hanger Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 20421 Route 19 Ste 100, Cranberry Township, PA 16066-7514 | 2020-02-12 |
1730711193 | Lvhn Scranton Orthopedic Specialists | Prosthetic/Orthotic Supplier | 334 Main St Ste 2, Dickson City, PA 18519-1668 | 2020-02-04 |
1528607223 | Agape Traders | Prosthetic/Orthotic Supplier | 562 Independence Rd Ste 142, East Stroudsburg, PA 18301-9702 | 2019-12-27 |
1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
1174172647 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 250 Cetronia Rd Ste 306, Allentown, PA 18104-9168 | 2019-09-08 |
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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.