RONALD LEE DURRETT (NPI# 1477642270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477642270 |
| Entity Type | Individual |
| Full Name | RONALD LEE DURRETT |
| Credential | CPO |
| Practice Address |
525 Alexandria Pike Suite 250 Southgate KY 41071-3290 |
| Mailing Address |
20 Medical Village Dr Suite 100 Edgewood KY 41017-5401 |
| Practice Telephone | 8594418111 |
| Practice Fax Number | 8594418111 |
| Mailing Telephone | 8593417688 |
| Mailing Fax Number | 8593414476 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ABP-SG | 21755 | 01 |
| Street Address |
525 ALEXANDRIA PIKE SUITE 250 |
| City | SOUTHGATE |
| State | KY |
| Zip Code | 41071-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1659779064 | Specialty Medical Drugstore | Pharmacy | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2014-12-17 |
| 1053715516 | Joan O Bovard | Nurse Practitioner | 525 Alexandria Pike, Suite 300, Southgate, KY 41071 | 2014-10-13 |
| 1548677636 | Summit Medical Group, Inc | Podiatrist | 525 Alexandria Pike, Ste 230, Southgate, KY 41071-3290 | 2014-07-21 |
| 1760704431 | Jared Cole Wilburn | Physical Therapist | 525 Alexandria Pike, Suite 200, Southgate, KY 41071-3290 | 2010-02-23 |
| 1992938567 | Kristopher Daniel Kaufman | Physical Therapist | 525 Alexandria Pike, Southgate, KY 41071 | 2009-08-31 |
| 1942451828 | Orthocincy | Durable Medical Equipment & Medical Supplies | 525 Alexandria Pike, Suite 200, Southgate, KY 41071 | 2008-10-09 |
| 1093978686 | Jamie Lynn Schulz | Internal Medicine | 525 Alexandria Pike, Ste 300, Southgate, KY 41071-3290 | 2008-07-03 |
| 1609075720 | Darren P Di Iulio | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2007-07-18 |
| 1982809828 | Brian John Crowley | Nurse Practitioner | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| Find all providers in zip 41071 | ||||
| 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 |
|---|---|---|---|---|
| 1093937104 | Michigan Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 15400 Northline Rd., Southgate, MI 48195-2333 | 2007-05-02 |
| 1659458214 | Landra Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 14725 Northline Rd, Southgate, MI 48195-2407 | 2006-11-01 |
| 1356349807 | Sondra Robin | Prosthetic/Orthotic Supplier | 13498 Dix Toledo Rd, Southgate, MI 48195-2430 | 2005-07-08 |
| 1427106319 | Binson's Hospital Supplies, Inc. | Prosthetic/Orthotic Supplier | 18800 Eureka Rd, Southgate, MI 48195-3166 | 2007-01-08 |
| 1346337599 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| 1366539512 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| 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 |
| 1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
| 1245534585 | Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | 1005 West Columbia St, Suite B, Somerset, KY 42503 | 2010-12-30 |
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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.