JERRY M WILCH (NPI# 1366641334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366641334 |
| Entity Type | Individual |
| Full Name | JERRY M WILCH |
| Credential | CPO |
| Practice Address |
Box 3885 Dumc M04 Davison Bldg Durham NC 27710-0001 |
| Mailing Address |
Dumc 3885 M04 Davison Bldg Durham NC 27710-0001 |
| Practice Telephone | 9196842474 |
| Practice Fax Number | 9196818496 |
| Mailing Telephone | 9196842474 |
| Mailing Fax Number | 9196818496 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
BOX 3885 DUMC M04 DAVISON BLDG |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| 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 |
|---|---|---|---|---|
| 1821595356 | Joy Leak | Prosthetic/Orthotic Supplier | 605 Bacon St, Durham, NC 27703-5001 | 2018-04-11 |
| 1255681797 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 6815 Fayetteville Road, #102, Durham, NC 27713-7081 | 2012-09-12 |
| 1659656916 | Center for Orthotic and Prosthetic Care of North Carolina, Inc | Prosthetic/Orthotic Supplier | 4702 Creekstone Dr, Durham, NC 27703-8410 | 2011-10-19 |
| 1669607289 | In The Pink Wig Boutique LLC | Prosthetic/Orthotic Supplier | 2617a Durham Chapel Hill Blvd, Durham, NC 27707 | 2009-05-27 |
| 1750307161 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6910 Fayetteville Rd # 5000, Durham, NC 27713-9714 | 2006-07-15 |
| 1770589368 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | Mo4 Davison Bldg, Dumc, Durham, NC 27710-0001 | 2005-06-28 |
| 1770121956 | Allure Me The Hair Estate | Prosthetic/Orthotic Supplier | 1910 Sedwick Rd, Durham, NC 27713-7807 | 2019-12-18 |
| 1760900146 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | 3901 N Roxboro St Ste 112, Durham, NC 27704-2181 | 2017-09-06 |
| 1417402462 | Private Diagnostic Clinic, Pllc | Prosthetic/Orthotic Supplier | 4709 Creekstone Dr, Suite 300, Durham, NC 27703-9822 | 2016-08-19 |
| 1679916035 | Limbionics of Durham, Inc | Prosthetic/Orthotic Supplier | 5007 Southpark Dr, Suite 110, Durham, NC 27713-7739 | 2013-04-16 |
| Find all providers in DURHAM | ||||
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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.