CENTRAL PROSTHETICS & ORTHOTICS INC (NPI# 1275628430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275628430 |
| Entity Type | Organization |
| Organization Name | CENTRAL PROSTHETICS & ORTHOTICS INC |
| Other Organization Name | CENTRAL BRACE & PROSTHETICS INC |
| Practice Address |
3295 Eagle View Lane Lexington KY 40509-1852 |
| Practice Telephone | 8592637712 |
| Practice Fax Number | 8592637607 |
| Mailing Telephone | 8592637712 |
| Mailing Fax Number | 8592637607 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MR. ED H GILDEHAUS III (PRESIDENT OWNER) |
| Authorized Official Telephone | 8592637712 |
| Authorized Official Credential | CPO FAAOP CPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90030347 | 05 | |
| HUMANA | 9565 | 01 | |
| ANTHEM | 000000066651 | 01 |
| Other Name | Type Code |
|---|---|
| Central Brace & Prosthetics Inc | Doing Business As Name - Organization |
| Street Address |
3295 EAGLE VIEW LANE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| 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 |
|---|---|---|---|---|
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1942656145 | Floyd Brace Company, Inc. | Prosthetic/Orthotic Supplier | 147 Vera Rd, Suite F, Lexington, SC 29072-3756 | 2016-05-06 |
| 1740535020 | Bb&e Medical Solutions LLC | Prosthetic/Orthotic Supplier | 65 Woods Edge Dr, Lexington, VA 24450-1874 | 2012-07-23 |
| 1578746988 | Lisa Thomason Jester | Prosthetic/Orthotic Supplier | 28 E 1st St, Lexington, NC 27292-3402 | 2007-12-07 |
| 1144247925 | Prosthetic and Orthotic Associates,llc | Prosthetic/Orthotic Supplier | 395 Elaine Dr, Suite 120, Lexington, KY 40504-2705 | 2006-07-16 |
| 1124025333 | Spinesource America, L.l.c | Prosthetic/Orthotic Supplier | 354 Waller Ave, Ste. 110, Lexington, KY 40504-2928 | 2005-07-01 |
| 1902801996 | Kenney Orthopedic, LLC | Prosthetic/Orthotic Supplier | 449 Lewis Hargett Cir, Suite 110, Lexington, KY 40503-3668 | 2005-06-16 |
| 1578937876 | Pediatric Orthotic and Prosthetic Services-midwest, LLC | Prosthetic/Orthotic Supplier | 110 Conn Ter, Lexington, KY 40508-3206 | 2015-11-24 |
| 1891055232 | Bracing Mascetomy and Orthotics Inc | Prosthetic/Orthotic Supplier | 100 Old Cherokee Rd Ste F, Lexington, SC 29072-7959 | 2012-05-19 |
| 1750610002 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 171 N Eagle Creek Dr, Suite 102, Lexington, KY 40509-1801 | 2009-12-16 |
| Find all providers in LEXINGTON | ||||
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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.