PALMETTO BIOTECH PROSTHETICS & ORTHOTICS LLC (NPI# 1386164861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386164861 |
| Entity Type | Organization |
| Organization Name | PALMETTO BIOTECH PROSTHETICS & ORTHOTICS LLC |
| Practice Address |
1324 Calhoun St Columbia SC 29201-2512 |
| Practice Telephone | (803) 828-9718 |
| Mailing Telephone | 8038289718 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Authorized Official Name | MR. ANDREW WALKER MURRELL (OWNER) |
| Authorized Official Telephone | 8038289718 |
| Authorized Official Credential | BOCP, BOCO |
| Is Organization Subpart | 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 |
| Street Address |
1324 CALHOUN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821595166 | Andrew Walker Murrell | Orthotist | 1324 Calhoun St, Columbia, SC 29201-2512 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| 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 |
|---|---|---|---|---|
| 1700449964 | Nicole D Jennings | Prosthetist | 920 Saint Andrews Rd Ste 2&3, Columbia, SC 29210-5816 | 2019-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723947 | Jonica D Richardson | Prosthetist | 417 Grand National Ln, Elgin, SC 29045-7113 | 2020-06-04 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1013465756 | Marquetta Breslin | Prosthetist | 125 Salt Meadow Ln, Summerville, SC 29483-5334 | 2016-09-12 |
| 1457721839 | Richard Goodman II | Prosthetist | 386 Rutt Ln, Goose Creek, SC 29445-7808 | 2015-09-29 |
| 1699153775 | Lisa Burks | Prosthetist | 4026 Ashley Phosphate Rd, Charleston, SC 29418-8547 | 2015-05-11 |
| 1548308695 | Alvin W. Pickering | Prosthetist | 230 Elliott St, Orangeburg, SC 29115-6022 | 2007-02-01 |
| 1114486529 | Clarissa Rose | Prosthetist | 950 W Faris Rd, Greenville, SC 29605-4255 | 2019-03-15 |
| 1275807174 | Brian Kaluf | Prosthetist | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2012-02-24 |
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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.