PAUL FLAHAVAN (NPI# 1194266676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194266676 |
| Entity Type | Individual |
| Full Name | PAUL FLAHAVAN |
| Credential | CO, CPED |
| Practice Address |
1334 Applegate Rd Madison WI 53713-3184 |
| Practice Telephone | 6082553500 |
| Mailing Telephone | 6082553500 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1334 APPLEGATE RD |
| City | MADISON |
| State | WI |
| Zip Code | 53713-3184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851405518 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 1334 Applegate Rd, Suite 200, Madison, WI 53713-3184 | 2006-08-19 |
| 1457642126 | Sue Larson | Counselor | 1334 Applegate Rd, Suite 101, Madison, WI 53713-3184 | 2011-04-28 |
| 1235428749 | Joseph F Kuehn | Counselor | 1334 Applegate Rd, Suite 101, Madison, WI 53713-3184 | 2011-04-05 |
| 1790074201 | Laura Suminski | Counselor | 1334 Applegate Rd, Suite 101, Madison, WI 53713-3184 | 2011-04-05 |
| 1548428733 | Scott Bennett Caldwell | Counselor | 1334 Applegate Rd, Suite 101, Madison, WI 53713-3184 | 2008-05-25 |
| 1669678512 | Shelly Lynn Dutch | Counselor | 1334 Applegate Rd, Suite 101, Madison, WI 53713-3184 | 2007-06-26 |
| 1285855965 | John David Boyne | Counselor | 1334 Applegate Rd, Madison, WI 53713-3184 | 2007-05-01 |
| 1558494211 | Cory S Divine | Counselor | 1334 Applegate Rd, Madison, WI 53713-3184 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists 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 |
|---|---|---|---|---|
| 1952949414 | Nps Foot Health, LLC | Orthotist | 1334 Applegate Rd Ste 200, Madison, WI 53713-3184 | 2019-12-16 |
| 1316968951 | Lisa D Rubrich | Orthotist | 4261 Lien Rd, Suite O, Madison, WI 53704-3689 | 2006-07-21 |
| 1316422389 | Casey R Calvert | Orthotist | 6514 Odana Rd, Madison, WI 53719-1124 | 2018-09-26 |
| 1851756639 | Angela Longmore | Orthotist | 600 Highland Ave, Madison, WI 53792-2424 | 2015-12-22 |
| 1073999462 | Rebecca Lamson Nitsche | Orthotist | 4602 Eastpark Blvd, Orthotics Room 1814, Madison, WI 53718-2002 | 2015-08-07 |
| 1972749687 | Andrea L Cook | Orthotist | 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 | 2008-12-30 |
| 1790854263 | Scott A Amyx | Orthotist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-11-07 |
| 1023038015 | Donna Q Gavin | Orthotist | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 | 2006-07-20 |
| 1649298597 | James T Lewallen | Orthotist | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607011 | Jose Luis Gonzales | Orthotist | 12075 Corporate Pkwy Ste 120, Mequon, WI 53092-2664 | 2018-11-09 |
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1871024810 | Curt Bertram | Orthotist | W292n6880 Dorn Rd, Hartland, WI 53029-9245 | 2017-03-22 |
| 1306387337 | John Mooney | Orthotist | 2555 W Kenboern Dr, Glendale, WI 53209-1835 | 2017-03-09 |
| 1699140814 | Thaddeus Holgado | Orthotist | 12075 Corporate Pkwy, Suite 120, Mequon, WI 53092-2665 | 2015-12-14 |
| 1124459664 | Charles Hall | Orthotist | 2578 N Martin Luther King Dr, Milwaukee, WI 53212-2710 | 2013-12-10 |
| 1952498990 | Ross L Bosetti | Orthotist | 2926 Post Rd, Stevens Point, WI 54481-6417 | 2006-10-10 |
| 1407944069 | Morfey's Limbs & Braces Inc | Orthotist | 11109 W. Bluemound Road, Wauwatosa, WI 53226 | 2006-10-10 |
| 1114019817 | Thomas Joseph Flatley Jr. | Orthotist | 10506 W Bluemound Rd, Milwaukee, WI 53226-4332 | 2006-09-29 |
| 1083610604 | Brian Scott Kelsey | Orthotist | 6790 West Layton Avenue, Greenfield, WI 53220-4571 | 2005-06-28 |
| 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.