PEDORTHIC CARE, LLC (NPI# 1427222470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427222470 |
| Entity Type | Organization |
| Organization Name | PEDORTHIC CARE, LLC |
| Practice Address |
3141 Lorna Rd Suite 100 Hoover AL 35216-5416 |
| Practice Telephone | 2058221606 |
| Practice Fax Number | 2058229756 |
| Mailing Telephone | 2058221606 |
| Mailing Fax Number | 2058229756 |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2010-06-02 |
| Authorized Official Name | MICHAEL DUVDEVANI (OWNER) |
| Authorized Official Telephone | 2058221606 |
| 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 | PEDORTHIC CARE, LLC | 3141 Lorna Rd Ste 100, Hoover, AL 35216-5497 |
| Street Address |
3141 LORNA RD SUITE 100 |
| City | HOOVER |
| State | AL |
| Zip Code | 35216-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295700847 | Benchmark Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3141 Lorna Rd, Suite 100, Hoover, AL 35216-5416 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| 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 |
|---|---|---|---|---|
| 1295700847 | Benchmark Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3141 Lorna Rd, Suite 100, Hoover, AL 35216-5416 | 2006-02-17 |
| 1720314941 | Anita's Wigs, LLC | Prosthetic/Orthotic Supplier | 180 Main St, Suite 128, Hoover, AL 35244-5064 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532367 | Gina Denise Tedford | Prosthetic/Orthotic Supplier | 2301 Highway 31 Nw, Hartselle, AL 35640-4258 | 2020-03-05 |
| 1740794734 | Alabama Artificial Limb & Orthopedic Service, Inc. | Prosthetic/Orthotic Supplier | 721 Oak Circle Dr E Ste B, Mobile, AL 36609-4221 | 2017-11-29 |
| 1922545243 | Windblown Wigs N Thangs | Prosthetic/Orthotic Supplier | 1292 Forestdale Sq, Forestdale, AL 35214-3838 | 2017-01-24 |
| 1386186674 | A Step Ahead Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 1140 Eagletree Ln Sw Ste 102, Huntsville, AL 35801-7429 | 2016-11-17 |
| 1538619424 | A Step Ahead, LLC | Prosthetic/Orthotic Supplier | 7123 Halcyon Park Dr, Suite A, Montgomery, AL 36117-7702 | 2016-10-04 |
| 1679029698 | Salon Wygs | Prosthetic/Orthotic Supplier | 2236 Cahaba Valley Dr, Birmingham, AL 35242-2671 | 2016-08-30 |
| 1891176517 | Hal Medical O&p, PC | Prosthetic/Orthotic Supplier | 22923 Us Highway 72 Ste A, Athens, AL 35613-7618 | 2015-06-18 |
| 1083093124 | Rhonda Reed | Prosthetic/Orthotic Supplier | 2227 Arlington Ave S, Birmingham, AL 35205-4003 | 2015-05-21 |
| 1285020008 | Restorative Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 28080 Us Highway 98 Ste G, Daphne, AL 36526-7012 | 2015-04-08 |
| 1790179489 | Vamousse/your Salon Refuge | Prosthetic/Orthotic Supplier | 703 3rd Ave N, Birmingham, AL 35203-3023 | 2015-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDORTHIC CARE, LLC.
| 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.