POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC


Address: 5202 Waters Avenue, Savannah, GA 31404
Phone: 9123547500

POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC (NPI# 1235194341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235194341
Entity Type Organization
Organization Name POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC
Practice Address 5202 Waters Avenue
Savannah
GA 31404
Practice Telephone 9123547500
Practice Fax Number 9123547887
Mailing Telephone 9123547500
Mailing Fax Number 9123547887
Enumeration Date 2006-04-20
Last Update Date 2013-11-19
Authorized Official Name MR. DAVID M PUCKETT (CPO PRES OWNER)
Authorized Official Telephone 9123547500
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000844698A 05
SC DE1986 05

Office Location

Street Address 5202 WATERS AVENUE
City SAVANNAH
State GA
Zip Code 31404

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043864580 Carli A Boatright Registered Nurse 4750 Waters Ave Suite 206, Savannah, GA 31404 2019-08-01
1619530573 Morgan Johnson Student in an Organized Health Care Education/Training Program Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 2019-04-17
1477050243 Kevin Timperman Student in an Organized Health Care Education/Training Program 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 2018-04-09
1376048959 Nina Jo Paletta Student in an Organized Health Care Education/Training Program Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 2018-03-27
1972036200 Jose Adrian Lara Gonzalez Student in an Organized Health Care Education/Training Program 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 2017-04-04
1407210396 Lexie Hester Vaughn Student in an Organized Health Care Education/Training Program 1250 East 66th St, Savannah, GA 31404 2016-04-07
1336503291 Miles Love Student in an Organized Health Care Education/Training Program 1250 East 66th Street, Savannah, GA 31404 2016-04-07
1134536881 David Patch Specialist/Technologist Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 2014-07-15
1962846683 Alan Danilo Zevallos Internal Medicine 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 2013-04-24
1730446394 Joshua Ryan Fann Prosthetist 3840 Waters Ave, Savannah, GA 31404 2012-04-19
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972772325 David M Puckett Prosthetic/Orthotic Supplier 5206 Waters Ave, Savannah, GA 31404-6230 2008-02-29
1548281462 Carole Romig Prosthetic/Orthotic Supplier 7074 Hodgson Memorial Dr, Savannah, GA 31406-2529 2006-07-23
1093700205 Nightingale Ers Inc Prosthetic/Orthotic Supplier 9100 White Bluff Rd, Ste 301, Savannah, GA 31406-4668 2005-09-14
1932742079 Ryan Fann Prosthetics, LLC Prosthetic/Orthotic Supplier 3840 Waters Ave, Savannah, GA 31404-6264 2019-10-22
1760848691 Active Medical and Mobility Inc. Prosthetic/Orthotic Supplier 409 Main St, Savannah, TN 38372-2062 2016-01-07
1770884959 Advanced Prosthetics and Orthotics Prosthetic/Orthotic Supplier 5602 Waters Ave, Savannah, GA 31404 2010-11-04
1184873390 Savannah Vascular Institute, LLC Prosthetic/Orthotic Supplier 4750 Waters Avenue, Suite 500, Savannah, GA 31404-6261 2008-09-11
1649446196 Sjc Health Services, Inc. Prosthetic/Orthotic Supplier 225 Candler Dr, Suite 102, Savannah, GA 31405-6023 2008-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860810 Crowns of Love Inc Prosthetic/Orthotic Supplier 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 2020-10-27
1447860150 Shadae Renee Medical Wigs Prosthetic/Orthotic Supplier 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 2020-08-06
1114535432 Beauty Zone2 Medical Wigs Prosthetic/Orthotic Supplier 252 Keys Ferry St, Mcdonough, GA 30253-3342 2020-07-22
1619594389 Legally Laced Prosthetic/Orthotic Supplier 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 2020-06-29
1093332009 Jazzy Wigs, Rx Prosthetic/Orthotic Supplier 59 Urey Emerson Dr, Richland, GA 31825-6636 2020-06-25
1174147938 Salon Asya Mignon LLC Prosthetic/Orthotic Supplier 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 2020-06-07
1023630928 Michelles Beauty Bar Prosthetic/Orthotic Supplier 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 2020-05-13
1366063596 Stylish Styles By Tee Prosthetic/Orthotic Supplier 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 2020-04-28
1518503432 Regina Murff-love Prosthetic/Orthotic Supplier 341 Indus Ln, Lawrenceville, GA 30044-3835 2019-11-26
1417508995 Priscilla Denise Brown Prosthetic/Orthotic Supplier 38200 3rd Ave, Fort Gordon, GA 30905 2019-09-25
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Competitor

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City SAVANNAH
Zip Code 31404

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Dataset Information

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.

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