CENTRAL PROSTHETICS & ORTHOTICS, INC. (NPI# 1427330760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427330760 |
Entity Type | Organization |
Organization Name | CENTRAL PROSTHETICS & ORTHOTICS, INC. |
Other Organization Name | CENTRAL BRACE & PROSTHETICS, INC. |
Practice Address |
171 Hibbard Street Suite 3 Pikeville KY 41501 |
Mailing Address |
3295 Eagle View Lane Lexington KY 40509-1852 |
Practice Telephone | 6065090612 |
Practice Fax Number | 6065090613 |
Mailing Telephone | 8592637712 |
Mailing Fax Number | 8592637607 |
Enumeration Date | 2011-09-13 |
Last Update Date | 2011-09-13 |
Authorized Official Name | MRS. MARY H GILDEHAUS (CECRETARY-TREASURER) |
Authorized Official Telephone | 8592637712 |
Is Organization Subpart | Y |
Parent Organization Name | CENTRAL PROSTHETICS & ORTHOTICS, INC. DBA CENTRA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
Central Brace & Prosthetics, Inc. | Doing Business As Name - Organization |
Street Address |
171 HIBBARD STREET SUITE 3 |
City | PIKEVILLE |
State | KY |
Zip Code | 41501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
Find all providers in zip 41501 |
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 |
---|---|---|---|---|
1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
1083066468 | I Management LLC | Prosthetic/Orthotic Supplier | 1034 S Jackson St, Louisville, KY 40203-3422 | 2016-07-08 |
1679934111 | Pakmed LLC | Prosthetic/Orthotic Supplier | 2527 Nelson Miller Pkwy, Louisville, KY 40223-3161 | 2016-03-11 |
1013385558 | Kenney Orthopedics of Paducah, LLC | Prosthetic/Orthotic Supplier | 224 Berger Rd, Paducah, KY 42003-4522 | 2015-09-14 |
1750790689 | Center for Orthotic and Prosthetic Care of Kentucky LLC | Prosthetic/Orthotic Supplier | 4975 Alben Barkley Dr, Suite 2, Paducah, KY 42001-6722 | 2014-08-05 |
1780018085 | Beauty Personified LLC | Prosthetic/Orthotic Supplier | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2013-08-22 |
1578995155 | Motc - Louisville LLC | Prosthetic/Orthotic Supplier | 10285 Champion Farms Dr, Louisville, KY 40241-6150 | 2013-08-06 |
1598012262 | Premier Orthotics Inc. | Prosthetic/Orthotic Supplier | 13329 Prospect Glen Way, Prospect, KY 40059-8184 | 2012-08-13 |
1245534585 | Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | 1005 West Columbia St, Suite B, Somerset, KY 42503 | 2010-12-30 |
1437463262 | Willam Eatl Bray Jr. | Prosthetic/Orthotic Supplier | 310 Langdon St Ste 2, Somerset, KY 42503-2795 | 2010-08-04 |
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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.