GEORGE WALZ (NPI# 1225341993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225341993 |
| Entity Type | Individual |
| Full Name | GEORGE WALZ |
| Credential | CP, BOCO |
| Practice Address |
21020 Kelly Rd Eastpointe MI 48021 |
| Mailing Address |
21020 Kelly Rd Eastpointe MI 48021-3126 |
| Practice Telephone | 5866663280 |
| Mailing Telephone | 5866663280 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2019-03-12 |
| 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 |
| Street Address |
21020 KELLY RD |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683896 | Digital Foot Lab Usa, LLC | Prosthetic/Orthotic Supplier | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2005-07-20 |
| 1366937328 | In-motion Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2018-06-22 |
| 1538462585 | Able Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2010-12-14 |
| 1033181482 | Shashikant Nagle | Specialist/Technologist, Other | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| 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 |
|---|---|---|---|---|
| 1003443334 | Denitia Lynnice Morris | Prosthetist | 21537 Kelly Rd, Eastpointe, MI 48021-3213 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1447877212 | Kewanna Lenise Hill | Prosthetist | 20533 Poinciana, Redford, MI 48240-1201 | 2020-06-28 |
| 1245872118 | Kyra Canada | Prosthetist | 27491 Bell Rd, Southfield, MI 48034-2080 | 2019-10-11 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1871958439 | Kainnon Vilminot | Prosthetist | 3469 E Grand River Ave, Suite 110, Howell, MI 48843-8504 | 2015-12-28 |
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| 1841531175 | Lindsay Muntick | Prosthetist | 5005 Cascade Rd Se, Grand Rapids, MI 49546-8411 | 2013-03-12 |
| 1588953426 | Angela Carthan-fox | Prosthetist | 1028 Professional Dr Ste A5, Flint, MI 48532-3635 | 2011-03-31 |
| 1821306911 | Paul R Cauley | Prosthetist | 6438 Woodward Ave, Detroit, MI 48202-3216 | 2010-09-22 |
| 1851503262 | Muriel Sara Robinson | Prosthetist | 32 E 8th St, Holland, MI 49423-3502 | 2007-05-06 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
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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.