STEVE'S SHOE SERVICE & PEDORTHIC CENTER (NPI# 1396917159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396917159 |
| Entity Type | Organization |
| Organization Name | STEVE'S SHOE SERVICE & PEDORTHIC CENTER |
| Practice Address |
135 Frenchtown Road Suite 4 North Kingstown RI 02852-1783 |
| Practice Telephone | 4018855004 |
| Practice Fax Number | 4018858283 |
| Mailing Telephone | 4018855004 |
| Mailing Fax Number | 4018858283 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | MR. STEVEN ALAN PETRARCA (OWNER) |
| Authorized Official Telephone | 4018855004 |
| Authorized Official Credential | OST C PED |
| 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 |
|---|---|---|---|
| BLUE CROSS | 29672 | 01 | |
| BLUE CHIP | 408288 | 01 |
| Street Address |
135 FRENCHTOWN ROAD SUITE 4 |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104037118 | Steven Alan Petrarca | Orthotist | 135 Frenchtown Road, Suite 4, North Kingstown, RI 02852-1783 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| 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 |
|---|---|---|---|---|
| 1093736274 | Nunnery Orthotic & Prosthetic | Prosthetic/Orthotic Supplier | 7408 Post Rd, North Kingstown, RI 02852-3217 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192037 | Rhode Island Limb Co Inc | Prosthetic/Orthotic Supplier | 2850 S County Trl, Unit 3, East Greenwich, RI 02818-1748 | 2016-09-12 |
| 1619224789 | Rhode Island Limb Co Inc | Prosthetic/Orthotic Supplier | 59 Prospect St, Suite B, Pawtucket, RI 02860-4482 | 2012-08-08 |
| 1467707976 | David Richard Papazian | Prosthetic/Orthotic Supplier | 1726 Smith St, North Providence, RI 02911-2353 | 2012-07-20 |
| 1851668529 | South County Artificial Limb Co., Inc. | Prosthetic/Orthotic Supplier | 265 Mendon Rd, Woonsocket, RI 02895-2410 | 2011-11-25 |
| 1063607752 | Ocean Orthopedic Services, Inc. | Prosthetic/Orthotic Supplier | 333 School St Ste 203, Pawtucket, RI 02860-5336 | 2007-09-06 |
| 1093870743 | Pedorthic Technologies Inc | Prosthetic/Orthotic Supplier | 285 Park Ave, Cranston, RI 02905-1241 | 2006-12-23 |
| 1053473959 | Northeast Pedorthics and Dme LLC | Prosthetic/Orthotic Supplier | 999 Warwick Ave, Warwick, RI 02888-3646 | 2006-12-15 |
| 1073610721 | Comfort Zone Shoes and Footbeds LLC | Prosthetic/Orthotic Supplier | 880 E Main Rd, Portsmouth, RI 02871-2340 | 2006-09-17 |
| 1699795450 | Foot Central Usa | Prosthetic/Orthotic Supplier | 1 Richmond Sq Ste 147n, Providence, RI 02906-5136 | 2006-07-21 |
| 1114943503 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6 Providence Pl, Providence, RI 02903-1739 | 2006-07-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on STEVE'S SHOE SERVICE & PEDORTHIC CENTER.
| 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.