PAUL LANCIAULT (NPI# 1205305075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205305075 |
| Entity Type | Individual |
| Full Name | PAUL LANCIAULT |
| Credential | CPO |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Practice Telephone | 2547432416 |
| Practice Fax Number | 2547432348 |
| Mailing Telephone | 2547432416 |
| Mailing Fax Number | 2547432348 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PED | CPO03232 | 01 |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1558874131 | Kellyn Marie Czajkowski | Dietitian, Registered | 1901 S 1st St, Temple, TX 76504-7451 | 2017-11-06 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
| 1891245320 | Shenira Becker | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| 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 |
|---|---|---|---|---|
| 1417193152 | Ctxvhcs | Prosthetist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2008-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
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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.