MARY FREE BED ORTHOTICS AND PROSTHETICS (NPI# 1154359537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154359537 |
| Entity Type | Organization |
| Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
| Other Organization Name | MARY FREE BED BRACE AND CORSET SHOP |
| Practice Address |
1078 East Sternberg Rd Muskegon MI 49444-8796 |
| Mailing Address |
235 Wealthy St Se Ste 1100 Grand Rapids MI 49503-5247 |
| Practice Telephone | 6168408433 |
| Practice Fax Number | 6168409504 |
| Mailing Telephone | 6163840843 |
| Mailing Fax Number | 6168409504 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MR. MARK A PORTH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6168408433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ========= | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS UPIN | 530D105100 | 01 |
| MI | 853356712 | 05 |
| Other Name | Type Code |
|---|---|
| Mary Free Bed Brace and Corset Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963817 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 502 S Hamilton St, Saginaw, MI 48602-1511 | 2019-10-15 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
| 1881155794 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2019-03-26 |
| 1700359908 | Mary Free Bed Orthotics and Prosthetics | Orthotist | 200 N Homer St, Lansing, MI 48912-4741 | 2019-01-10 |
| 1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
| 1528096997 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| 1437187804 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 12662 Riley St, Suite 140, Holland, MI 49424-8023 | 2006-06-28 |
| 1245268622 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| 1184607335 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 235 Wealthy St Se, Ste 1100, Grand Rapids, MI 49503-5247 | 2005-11-22 |
| Street Address |
1078 EAST STERNBERG RD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-8796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| 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 |
|---|---|---|---|---|
| 1679567549 | Hackley Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 1887 E Sherman Blvd, Muskegon, MI 49444-1859 | 2005-09-07 |
| 1023300159 | Mercy Health Partners | Prosthetic/Orthotic Supplier | 1560 E Sherman Blvd, Muskegon, MI 49444-1867 | 2011-05-09 |
| 1184895617 | Bolak and Associates Inc | Prosthetic/Orthotic Supplier | 3324 Glade St, Muskegon, MI 49444-2708 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
| 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.