SPECTRUM PROSTHETICS & ORTHOTICS, INC. (NPI# 1164527743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164527743 |
| Entity Type | Organization |
| Organization Name | SPECTRUM PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
3600 Lincoln Way Ames IA 50014-7595 |
| Mailing Address |
1349 Nw 121st St #300 Clive IA 50325-8145 |
| Practice Telephone | 5159564920 |
| Practice Fax Number | 5159564021 |
| Mailing Telephone | 5159564920 |
| Mailing Fax Number | 5159564021 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | JEFF BRUCE (TREASURER) |
| Authorized Official Telephone | 5159564920 |
| Authorized Official Credential | CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
3600 LINCOLN WAY |
| City | AMES |
| State | IA |
| Zip Code | 50014-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025679 | James Rogers Burke | Family Medicine | 3600 Lincoln Way, Ames, IA 50014-7595 | 2005-09-30 |
| 1740725712 | Calista Caroline Padilla | Occupational Therapist | 3600 Lincoln Way, Ames, IA 50014-7595 | 2016-12-30 |
| 1164872172 | Evan Robert Buikema | Psychologist | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2016-06-21 |
| 1306229737 | Jamie Michelle Dunn | Counselor | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2015-07-02 |
| 1396176475 | Rachel Nicole Sheldon | Counselor | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2013-11-27 |
| 1326387549 | Megan M Kerns | Physical Therapist | 3600 Lincoln Way, Ames, IA 50014-7595 | 2013-02-07 |
| 1336393396 | Lisa Renee Griffith | Counselor | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2008-11-04 |
| 1750550539 | Amanda Jennifer Jane Robinson | Social Worker | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2008-02-26 |
| 1124223441 | Nathaniel L Schmidt | Physical Therapist | 3600 Lincoln Way, Ames, IA 50014-7595 | 2007-06-18 |
| 1851510887 | John Arthur Aagesen | Pharmacist | 3600 Lincoln Way, Ames, IA 50014-7595 | 2007-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304819 | Erica Ostrem | Physical Therapy Assistant | 2200 Hamilton Drive, Ste 100, Ames, IA 50014 | 2016-01-28 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1578774964 | Anna Marie Weber | Occupational Therapist | 2202 228th Pl, Ames, IA 50014 | 2007-05-25 |
| 1053534107 | Rienera Suzanne Sivesind | Family Medicine | 2724 Meadow Glen Rd, Ames, IA 50014 | 2007-04-10 |
| 1073667606 | Elizabeth Mccurdy | Family Medicine | 3510 Lincoln Way, Ames, IA 50014 | 2007-01-22 |
| 1114991320 | Kimberly Benton-herzberg | Counselor | 118 Hayward Ave Suite 8, Ames, IA 50014 | 2006-02-14 |
| 1275517864 | Lynda Elayne Wilson | Nurse Practitioner | 113 Colorado Ave, Suite 105, Ames, IA 50014 | 2005-12-06 |
| 1437146016 | Lisa M. Banitt | Obstetrics & Gynecology | 2530 Chamberlain St, Ames, IA 50014 | 2005-09-29 |
| 1720328750 | Jennifer Marie Devore | Nurse Practitioner | 2530 Chamberlain St, Ames, IA 50014 | 2013-02-28 |
| 1518109123 | Timothy James Hansen | Dermatology | 3600 W Lincoln Way, Mcfarland Clinic, PC, Ames, IA 50014 | 2009-03-27 |
| Find all providers in zip 50014 | ||||
| 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 |
|---|---|---|---|---|
| 1245632686 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 215 Duff Ave, Ames, IA 50010-6637 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723697 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 3385 Dexter Ct Ste 107, Davenport, IA 52807-3494 | 2019-01-09 |
| 1851767735 | Chladek O & P Inc | Prosthetic/Orthotic Supplier | 3007 86th Street, Urbandale, IA 50322-4001 | 2015-08-14 |
| 1073924155 | Eyeprint Prosthetics | Prosthetic/Orthotic Supplier | 2221 Oak Rd Ne, North Liberty, IA 52317-9365 | 2014-05-12 |
| 1336561737 | Patrick Lavern Holt | Prosthetic/Orthotic Supplier | 1454 N Federal Ave, Mason City, IA 50401-1268 | 2014-01-20 |
| 1396177721 | Chi National Home Care | Prosthetic/Orthotic Supplier | 401 6th St, Suite A, Corning, IA 50841-1613 | 2013-08-08 |
| 1699107029 | Chi National Home Care | Prosthetic/Orthotic Supplier | 405 S Fremont St, Shenandoah, IA 51601-1505 | 2013-08-08 |
| 1902159858 | Shoe Mate | Prosthetic/Orthotic Supplier | 1011 88th St, West Des Moines, IA 50266-5857 | 2012-10-16 |
| 1548494743 | Heartland Laboratories Inc | Prosthetic/Orthotic Supplier | 4025 University Ave, Waterloo, IA 50701-5639 | 2009-05-04 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1912184433 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 634 S Monroe Ave, Mason City, IA 50401-5041 | 2008-01-28 |
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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.