BLUE SKY ORTHOTIC AND PROSTHETICS (NPI# 1376045617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376045617 |
| Entity Type | Organization |
| Organization Name | BLUE SKY ORTHOTIC AND PROSTHETICS |
| Practice Address |
3411 Market Loop Ste 112 Temple TX 76502-2771 |
| Mailing Address |
1104 W 34th St Bldg A Austin TX 78705-1908 |
| Practice Telephone | 9702311313 |
| Mailing Telephone | 9702311313 |
| Mailing Fax Number | 5125058886 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | AARON ERWIN FOREMAN (PRESIDENT) |
| Authorized Official Telephone | 9702311313 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE SKY ORTHOTIC AND PROSTHETICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101597 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822170 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 3141 Eagles Nest St Unit 220, Round Rock, TX 78665-2334 | 2019-10-17 |
| 1023510369 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 1104 W 34th St Bldg A, Austin, TX 78705-1908 | 2018-03-02 |
| 1457728560 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 2611 E 29th St, Bryan, TX 77802-2502 | 2015-08-24 |
| Street Address |
3411 MARKET LOOP STE 112 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311179 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 3411 Market Loop Ste 112, Temple, TX 76502-2771 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| 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 |
|---|---|---|---|---|
| 1336398270 | R M D & K Inc | Prosthetic/Orthotic Supplier | 2626 S 37th St Ste 104, Temple, TX 76504-7136 | 2008-09-16 |
| 1538327671 | Balbo Hearing Clinic | Prosthetic/Orthotic Supplier | 1717 Sw H K Dodgen Loop Ste 118, Temple, TX 76502-1848 | 2008-05-27 |
| 1598943854 | G & G Prosthetic Ltd | Prosthetic/Orthotic Supplier | 2211 S 57th St, Temple, TX 76504-6947 | 2008-02-08 |
| 1114102787 | Jesse C Goss | Prosthetic/Orthotic Supplier | 1103 S 31st St, Temple, TX 76504-5214 | 2008-01-02 |
| 1992311179 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 3411 Market Loop Ste 112, Temple, TX 76502-2771 | 2020-09-22 |
| 1366921702 | Ocular Prosthetic Designs, LLC | Prosthetic/Orthotic Supplier | 1120 S 31st St, Temple, TX 76504-5215 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| 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.