PROCARE PROSTHETICS & ORTHOTICS, INC. (NPI# 1366425746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366425746 |
| Entity Type | Organization |
| Organization Name | PROCARE PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
1050 N Flowood Dr Ste C1 Flowood MS 39232-9738 |
| Practice Telephone | 6016647004 |
| Practice Fax Number | 6016647099 |
| Mailing Telephone | 6016647004 |
| Mailing Fax Number | 6016647099 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MR. STEPHEN BRET LEE (OWNER) |
| Authorized Official Telephone | 6016647004 |
| Authorized Official Credential | CPO |
| 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 |
|---|---|---|---|
| MS | 00440983 | 05 |
| Street Address |
1050 N FLOWOOD DR STE C1 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649001 | Akemi Jones | Speech-Language Pathologist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2020-01-29 |
| 1740835008 | Karla Easterling | Physical Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2019-08-05 |
| 1639645401 | Lauren Elizabeth Roberts | Physical Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2018-10-19 |
| 1659847473 | Sydney Kirk Sisson | Occupational Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2018-10-18 |
| 1417423211 | Kellye Branch Donnell | Physical Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2018-10-18 |
| 1366627606 | Back Clinic, LLC | Family Medicine | 1050 N Flowood Dr, Suite A-1, Flowood, MS 39232-9738 | 2008-01-07 |
| 1205027844 | Procare Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 1050 N Flowood Dr, C-1, Flowood, MS 39232-9738 | 2007-08-08 |
| 1992900039 | Adl Solutions | Family Medicine | 1050 N Flowood Dr, Suite A-1, Flowood, MS 39232-9738 | 2007-06-19 |
| 1407860315 | Diagnostic Radiology Associates, Pa | Radiology | 1050 N Flowood Dr, Suite A-4, Flowood, MS 39232-9738 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1508841651 | Handicapped Mobility Inc | Prosthetic/Orthotic Supplier | 2627 Courthouse Cir, Flowood, MS 39232-9521 | 2005-12-13 |
| 1205027844 | Procare Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 1050 N Flowood Dr, C-1, Flowood, MS 39232-9738 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1881219046 | Color Me Jazzy | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-560, Ridgeland, MS 39157-4861 | 2020-06-13 |
| 1154945418 | Dream Hair Care | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste E, Hattiesburg, MS 39402-1006 | 2020-06-02 |
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1275155749 | Fearless Beauty Company | Prosthetic/Orthotic Supplier | 611 S Pear Orchard Rd # 771, Ridgeland, MS 39157-4836 | 2020-05-07 |
| 1982225850 | Luxury Locs | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste D, Hattiesburg, MS 39402-1006 | 2020-05-02 |
| 1518587914 | Bmb Medical Beautique | Prosthetic/Orthotic Supplier | 6515 Goodman Rd Ste 300, Olive Branch, MS 38654-7333 | 2020-04-26 |
| 1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
| 1083234462 | Shear Beauty 31 Hair Studio | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-573, Ridgeland, MS 39157-4861 | 2020-04-25 |
| 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.