EXCEL PROSTHETICS & ORTHOTICS, INC. (NPI# 1427147123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427147123 |
| Entity Type | Organization |
| Organization Name | EXCEL PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
1700 Vineyard St Bluefield WV 24701-4025 |
| Mailing Address |
115 Albemarle Ave Se Roanoke VA 24013-2205 |
| Practice Telephone | 3043232278 |
| Practice Fax Number | 3043232846 |
| Mailing Telephone | 5409820205 |
| Mailing Fax Number | 5409826905 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | MR. DOUGLAS C. WALTERS (PRESIDENT) |
| Authorized Official Telephone | 5409820205 |
| Authorized Official Credential | CPO |
| 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 |
|---|---|---|---|
| WV | 1427147123 | 05 | |
| VA | 1427147123 | 05 | |
| WV | 0147037000 | 05 | |
| VA | 009190198 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528192200 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 807 Mercer St, Princeton, WV 24740-2907 | 2007-03-15 |
| 1457440166 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1319 Sunset Drive, Suite 203, Johnson City, TN 37604-5474 | 2006-10-12 |
| 1609965318 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2255 Langhorne Rd, Suite 1, Lynchburg, VA 24501-1117 | 2006-10-12 |
| 1851480560 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 312 S Main St, Danville, VA 24541-2926 | 2006-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EXCEL PROSTHETICS & ORTHOTICS, INC. | 115 Albemarle Ave Se, Roanoke, VA 24013-2205 |
| Street Address |
1700 VINEYARD ST |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| 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 |
|---|---|---|---|---|
| 1891829123 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 210 North St, Suite 204, Bluefield, WV 24701-4037 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049092 | Western Reserve Orthotics Prosthetics Centre Inc | Prosthetic/Orthotic Supplier | 1 Community St Ste 1, Wheeling, WV 26003-5250 | 2020-09-25 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
| 1316405640 | Elizur Corporation | Prosthetic/Orthotic Supplier | 1001 W Baltimore St Ste 3, Mcmechen, WV 26040-1503 | 2019-03-05 |
| 1790278133 | New Horizon Orthotic & Prosthetic Systems | Prosthetic/Orthotic Supplier | 5505 Us Route 60 Ste 190, Huntington, WV 25705-2031 | 2018-06-11 |
| 1710482088 | Noni | Prosthetic/Orthotic Supplier | 917 20th St, Huntington, WV 25703-1809 | 2018-03-28 |
| 1225540263 | Eye Candy Beauty Supply | Prosthetic/Orthotic Supplier | 208 Adams St, Fairmont, WV 26554-2826 | 2017-10-31 |
| 1124478854 | Anatomical Designs, Inc. | Prosthetic/Orthotic Supplier | 8000 Jerry Dove Drive Suite 104, Bridgeport, WV 26330-0000 | 2016-06-14 |
| 1154742328 | Ace Medical LLC | Prosthetic/Orthotic Supplier | 2702 1st Ave, Huntington, WV 25702-1340 | 2013-12-13 |
| 1528304649 | The Progressive Orthopaedic Company,llc | Prosthetic/Orthotic Supplier | 1000 Hampton Ctr, Suite D, Morgantown, WV 26505-3315 | 2012-12-18 |
| 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.