ROSWELL C PUTMAN (NPI# 1346413374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346413374 |
Entity Type | Organization |
Organization Name | ROSWELL C PUTMAN |
Practice Address |
11274 S Fortuna Rd Ste C3 Yuma AZ 85367-7861 |
Practice Telephone | 9283451907 |
Practice Fax Number | 9283451907 |
Mailing Telephone | 9283451907 |
Mailing Fax Number | 9283451907 |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-04-10 |
Authorized Official Name | MR. ROSWELL C PUTMAN (OWNER) |
Authorized Official Telephone | 9283451907 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Street Address |
11274 S FORTUNA RD STE C3 |
City | YUMA |
State | AZ |
Zip Code | 85367-7861 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245497833 | Foothills Shoes LLC | Prosthetic/Orthotic Supplier | 11274 S Fortuna Rd Ste C3, Yuma, AZ 85367-7861 | 2008-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033643374 | Bio Clinic PC | Internal Medicine | 11468 N Frontage Rd Ste A, Yuma, AZ 85367 | 2017-04-13 |
1518320308 | Leigh Ann Howell | Nurse Practitioner | 11242 S Foothills Blvd Ste 18, Yuma, AZ 85367 | 2016-03-30 |
1083026231 | Cvs Pharmacy | Pharmacist | 11464 S Fortuna Rd, Yuma, AZ 85367 | 2014-05-22 |
1700134822 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 11464 South Fortuna Rd, Yuma, AZ 85367 | 2012-08-21 |
1568731016 | Matthew R Nunes | Pharmacist | 11203 E South Frontage Rd, Yuma, AZ 85367 | 2011-12-28 |
1285929976 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 11203 E. South Frontage Rd., Yuma, AZ 85367 | 2011-06-10 |
1922124494 | Assisted Living Concepts Inc | Assisted Living Facility | 12234 E North Frontage, Yuma, AZ 85367 | 2007-03-22 |
1417089723 | Monika Shumbopoissant | Occupational Therapy Assistant | 2224 Ave A, Palm View Rehabilitation & Health Care Center, Yuma, AZ 85367 | 2007-03-12 |
1467584771 | Dustin Torrey Cummings | Physical Therapy Assistant | Yuma Reahabilition Hospital, 901 West 24th Street, Yuma, AZ 85367 | 2007-03-12 |
1295229672 | Yuma Kidney & Dialysis Specialists PC | Internal Medicine | 11468 N Frontage Rd, Yuma, AZ 85367 | 2018-06-19 |
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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 |
---|---|---|---|---|
1700973948 | Advanced Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 2851 S Avenue B Ste 8, Yuma, AZ 85364-7726 | 2006-10-09 |
1124343140 | Southwestern Eye Center Ltd | Prosthetic/Orthotic Supplier | 2149 W 24th St, Yuma, AZ 85364-6136 | 2010-04-01 |
1245497833 | Foothills Shoes LLC | Prosthetic/Orthotic Supplier | 11274 S Fortuna Rd Ste C3, Yuma, AZ 85367-7861 | 2008-05-21 |
1871652842 | Prn Marketing Inc | Prosthetic/Orthotic Supplier | 2051 W 25th St, Suite C, Yuma, AZ 85364-6912 | 2006-12-06 |
1598878696 | Cathrine Maureen Putman | Prosthetic/Orthotic Supplier | 11274 S Fortuna Rd, Suite C3, Yuma, AZ 85367-7847 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
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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.