MR. NICHOLAS J CHELENZA III (NPI# 1144577909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144577909 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS J CHELENZA III |
| Credential | CPO, L |
| Practice Address |
1915 W Gore Blvd Ste 1 Lawton OK 73501-3661 |
| Practice Telephone | 5806998690 |
| Practice Fax Number | 5806998692 |
| Mailing Telephone | 5806998690 |
| Mailing Fax Number | 5806998692 |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | LPO86 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | LPO86 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467551150 | Nicholas Joseph Chelenza Jr. | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-09-21 |
| Street Address |
1915 W GORE BLVD STE 1 |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780931543 | Connie M Chelenza | Orthotist | 1915 W Gore Blvd Ste 1, Lawton, OK 73501-3661 | 2012-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| 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 |
|---|---|---|---|---|
| 1487299376 | Lindsay Ann Lafuente | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2019-11-14 |
| 1427610526 | Alita Javon Littlejohn | Prosthetist | 1840 Sagewood Dr, Edmond, OK 73013-2946 | 2019-06-28 |
| 1467932731 | Nicholas Brown | Prosthetist | 225 Nw 9th St, Oklahoma City, OK 73102-2619 | 2018-08-16 |
| 1952644007 | Andy John Anders | Prosthetist | 937 Sw 89th St Ste B, Oklahoma City, OK 73139-9231 | 2013-03-27 |
| 1477790111 | Chad Simpson | Prosthetist | 7111 Nix Dr, Duncan, OK 73533-4191 | 2009-01-16 |
| 1962022822 | Innovative Prothestics and Research, LLC | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2020-04-21 |
| 1356835052 | Alexander Ashoff | Prosthetist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2018-06-18 |
| 1396234589 | Martin Bionics Clinical Care, LLC | Prosthetist | 214 E Main St, Oklahoma City, OK 73104-4221 | 2018-05-03 |
| 1619400876 | Christopher Prestridge | Prosthetist | 229 Nw 9th St, Oklahoma City, OK 73102-2619 | 2017-04-05 |
| 1023490349 | Etheridge Prosthetics LLC | Prosthetist | 2202 Westpark Dr, Suite A, Norman, OK 73069-4033 | 2015-06-23 |
| 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.