MR. WILDER KEITH LAFOND (NPI# 1356348742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356348742 |
| Entity Type | Individual |
| Full Name | MR. WILDER KEITH LAFOND |
| Credential | CPO |
| Practice Address |
639 Biltmore Ave Asheville NC 28803-2585 |
| Mailing Address |
68 Sweeten Creek Rd Asheville NC 28803-2318 |
| Practice Telephone | 8282543392 |
| Practice Fax Number | 8282544380 |
| Mailing Telephone | 8282742400 |
| Mailing Fax Number | 8282774808 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2009-09-23 |
| 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 |
|---|---|---|---|
| NC | 7795380 | 05 |
| Street Address |
639 BILTMORE AVE |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28803-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356555437 | Robert Kent Ballard | Orthotist | 639 Biltmore Ave, Asheville, NC 28803-2585 | 2007-05-09 |
| 1881808830 | Gary Stevens | Prosthetist | 639 Biltmore Ave, Asheville, NC 28803-2585 | 2007-05-09 |
| 1285848226 | Jennifer Behrend | Orthotist | 639 Biltmore Ave, Asheville, NC 28803-2585 | 2007-05-09 |
| 1497969430 | Thaddeus Wolfe | Orthotist | 639 Biltmore Ave, Asheville, NC 28803-2585 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
| 1831735422 | Melzer and Associates-biltmore-pllc | Dentist | 1 Vanderbilt Park Dr., Ste: 220, Asheville, NC 28803 | 2019-11-19 |
| 1821632183 | Unified Therapies | Social Worker | 145 Charlotte Hwy, Suite 40, Asheville, NC 28803 | 2019-10-30 |
| 1558919969 | Revolution Access Inc | Contractor | 85 Shiloh Road, Unit 50, Asheville, NC 28803 | 2019-08-28 |
| 1427612621 | Anson Bruce Alvis | Student in an Organized Health Care Education/Training Program | Family Medicine, 123 Hendersonville Road, Asheville, NC 28803 | 2019-04-24 |
| 1457837569 | Haley Ellison Ward | Physician Assistant | 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 | 2018-07-12 |
| 1881188233 | Michelle Nicole Fronzaglia | Speech-Language Pathologist | 9 West Summit Ave, Asheville, NC 28803 | 2018-06-19 |
| 1164912515 | Susan Pethel | Physical Therapist | Southeastern Physical Therapy, LLC., 23 Turtle Creek Drive, Asheville, NC 28803 | 2018-05-11 |
| 1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
| 1639672181 | Goldman Medical P.a. | Psychiatry & Neurology | 1516 Kentmere Lane, Asheville, NC 28803 | 2018-03-12 |
| Find all providers in zip 28803 | ||||
| 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 |
|---|---|---|---|---|
| 1861803868 | Justin Michael Mellis-gruba | Prosthetist | 1 Doctors Dr, Asheville, NC 28801-4608 | 2014-05-13 |
| 1881808830 | Gary Stevens | Prosthetist | 639 Biltmore Ave, Asheville, NC 28803-2585 | 2007-05-09 |
| 1104925981 | Gregory M Straub | Prosthetist | 49 Mcdowell St, Asheville, NC 28801-4103 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
| 1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
| 1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
| 1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
| 1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
| 1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
| 1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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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.