ERDMANN PROSTHETICS & ORTHOTICS (NPI# 1366851792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366851792 |
Entity Type | Organization |
Organization Name | ERDMANN PROSTHETICS & ORTHOTICS |
Practice Address |
151 N Sunrise Ave Suite 805 Roseville CA 95661-2924 |
Practice Telephone | 9167723333 |
Practice Fax Number | 9167723336 |
Mailing Telephone | 9167723333 |
Mailing Fax Number | 9167723336 |
Enumeration Date | 2014-08-11 |
Last Update Date | 2014-08-11 |
Authorized Official Name | JON M ERDMANN (CEO) |
Authorized Official Telephone | 9167723333 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ERDMANN PROSTHETICS & ORTHOTICS | 151 N Sunrise Ave Ste 805, Roseville, CA 95661-2928 |
Street Address |
151 N SUNRISE AVE SUITE 805 |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-2924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477559003 | David Robert Dame | Chiropractor | 151 N Sunrise Ave, Ste 1413, Roseville, CA 95661-2934 | 2005-06-28 |
1194333559 | Laurie Mathias | Speech-Language Pathologist | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-07-21 |
1679198709 | Stanford Youth Solutions | Community/Behavioral Health | 151 N Sunrise Ave, Suite 811/ 813, Roseville, CA 95661-2924 | 2020-06-15 |
1154953370 | Alyssa Morford | Physical Therapist | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-02-05 |
1134759376 | Anna Vue | Nurse Practitioner | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-01-16 |
1992246730 | Jennifer L Ochoa | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-13 |
1588104111 | Adijat Oladipo | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-01 |
1326588955 | Angelica Maria Manzo Graham | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-01 |
1821537176 | Deborah Plante Md PC | Internal Medicine | 151 N Sunrise Ave, Suite 611, Roseville, CA 95661-2924 | 2017-02-20 |
1275078784 | Molly Hyland | Occupational Therapist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2016-12-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
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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 |
---|---|---|---|---|
1740887462 | A-z Consulting O & P Services | Prosthetic/Orthotic Supplier | 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 | 2020-10-06 |
1417329616 | Norell Prosthetics Orthotics Inc. | Prosthetic/Orthotic Supplier | 735 Sunrise Ave Ste 101, Roseville, CA 95661-4596 | 2015-10-27 |
1881849537 | Genesis Surgical | Prosthetic/Orthotic Supplier | 324 Rainbow Trout Ct, Roseville, CA 95747-4628 | 2008-11-21 |
1518067511 | O and P Services, Inc | Prosthetic/Orthotic Supplier | 1830 Sierra Gardens Dr Ste 40, Roseville, CA 95661-2942 | 2006-09-22 |
1316963796 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1131 Galleria Blvd, Roseville, CA 95678-1935 | 2006-07-15 |
1174174320 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2019-09-27 |
1821564501 | Elevation Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 106 N Sunrise Ave Ste C8, Roseville, CA 95661-2914 | 2018-10-19 |
1235625245 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2018-07-03 |
1225578321 | North Bay Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 151 N Sunrise Ave Ste 1203, Roseville, CA 95661-2932 | 2017-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696592 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 | 2020-10-14 |
1871191742 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 | 2020-10-13 |
1255938452 | Sheek Hair Boutique | Prosthetic/Orthotic Supplier | 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 | 2020-10-01 |
1922615368 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 | 2020-09-29 |
1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
1225640220 | Christopher Holloway | Prosthetic/Orthotic Supplier | 4517 Market St Ste 4, Ventura, CA 93003-7841 | 2020-08-20 |
1407468416 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 | 2020-08-20 |
1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
1831713189 | Prosthetic & Orthotic Group San Gabriel Valley, Inc | Prosthetic/Orthotic Supplier | 5658 Sepulveda Blvd Ste 206, Van Nuys, CA 91411-2951 | 2020-06-02 |
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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.