DUANE R HOEPPNER (NPI# 1477894848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477894848 |
| Entity Type | Individual |
| Full Name | DUANE R HOEPPNER |
| Credential | BOCO,BOCPED |
| Practice Address |
1005 E Michigan Ave Jackson MI 49201-2405 |
| Practice Telephone | 5177831313 |
| Mailing Telephone | 5177831313 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1005 E MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1003338898 | Joshua Paul Ahlstrom | Orthotist | 1407 E Michigan Ave, Jackson, MI 49202-3517 | 2017-07-12 |
| 1538258736 | Rick A Psonak | Orthotist | 777 Lakeland Dr, Jackson, MS 39216-4611 | 2006-10-12 |
| 1184149551 | David Trevisan | Orthotist | 1407 E Michigan Ave, Jackson, MI 49202-3517 | 2017-08-07 |
| 1497126775 | Damon Bagley-ayres | Orthotist | 777 Lakeland Dr, Jackson, MS 39216-4611 | 2015-10-13 |
| 1588035257 | Stephen Bret Lee | Orthotist | 2500 N State St, Jackson, MS 39216-4500 | 2015-10-07 |
| 1417362849 | Amy R Adcox | Orthotist | 2500 N State St, Jackson, MS 39216-4500 | 2014-06-24 |
| 1679916183 | Zachary Douglas Myrick | Orthotist | 2 Old River Pl Ste D, Jackson, MS 39202-3435 | 2013-04-15 |
| 1548583172 | Charles Reggie Kennedy Sr. | Orthotist | 777 Lakeland Dr, Jackson, MS 39216-4611 | 2010-03-10 |
| 1952586786 | Kevin Scribner | Orthotist | 2500 N State St, Jackson, MS 39216-4500 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586623 | Matthew Mcewin | Orthotist | 41400 Dequindre Rd Ste 105, Sterling Heights, MI 48314-3751 | 2019-09-09 |
| 1043736424 | John Roberts-kinyon | Orthotist | 1383 Nottingham Rd, Grosse Pointe Park, MI 48230-1026 | 2017-08-17 |
| 1689118671 | Melissa Ismet | Orthotist | 4314 Skusa Dr, Brighton, MI 48116-9720 | 2016-12-09 |
| 1336683358 | Jon Richard Tapio | Orthotist | 431 Front Street, Republic, MI 49879 | 2016-12-09 |
| 1063881530 | First Choice Orthotics and Prosthetics | Orthotist | 19189 15 Mile Rd, Clinton Township, MI 48035-2508 | 2015-09-15 |
| 1578951943 | Thomas Dunn | Orthotist | 314 N Walnut St, Second Floor, Lansing, MI 48933-1124 | 2015-01-07 |
| 1184043697 | Zia Rahman | Orthotist | 23255 Middlebelt Rd, Farmington Hills, MI 48336-3642 | 2014-04-11 |
| 1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
| 1023360823 | Jeffery J Roy | Orthotist | 1229 W Washington St, Marquette, MI 49855-3186 | 2012-10-04 |
| 1831405968 | Kenneth John Hartman | Orthotist | 1825 N Willow Hwy, Lansing, MI 48917-1644 | 2010-08-26 |
| 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.