NORTH SHORE PEDORTHICS, LLC (NPI# 1508045238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508045238 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE PEDORTHICS, LLC |
| Practice Address |
4370 Oberlin Ave Suite B Lorain OH 44053-2942 |
| Practice Telephone | 4409892799 |
| Practice Fax Number | 4409891127 |
| Mailing Telephone | 4409892799 |
| Mailing Fax Number | 4409891127 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | DEAN A. MASON (SINGLE MEMBER) |
| Authorized Official Telephone | 4409892799 |
| Authorized Official Credential | CPED, BOCO CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | LO 228 LPED 029 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2068622 | 05 |
| Street Address |
4370 OBERLIN AVE SUITE B |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| 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 |
|---|---|---|---|---|
| 1437109212 | Dean Mason | Orthotist | 209 W 6th St, Suite 12, Lorain, OH 44052-1744 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853126 | Samuel Mitchell | Orthotist | 5820 Ridge Ave, Cincinnati, OH 45213 | 2020-05-26 |
| 1144742008 | Jonathan Heifetz | Orthotist | 2120 S Green Rd Ste 101, South Euclid, OH 44121-3317 | 2017-07-12 |
| 1679814107 | Brian Becker | Orthotist | 215 W Bowery St Ste 3260, Akron, OH 44308-1024 | 2013-03-07 |
| 1104167634 | George Bursztynski | Orthotist | 3435 N Holland Sylvania Rd, Toledo, OH 43615-1411 | 2013-03-07 |
| 1730420266 | David Stevens | Orthotist | 4461 State Route 159 Ste D, Chillicothe, OH 45601-6000 | 2013-03-07 |
| 1477825461 | Kimberly Ann Reed | Orthotist | 35110 Euclid Ave, First Floor, Willoughby, OH 44094-4523 | 2012-02-06 |
| 1679895395 | Leimkuehler Orthotic & Prosthetic Center Inc. | Orthotist | 762 Us 250 E., Ashland, OH 44805 | 2010-02-22 |
| 1396982500 | Ronald Glenn Elliott | Orthotist | 7451 Country Walk Dr, Carlisle, OH 45005-7917 | 2009-01-09 |
| 1265580682 | Orthotic Solutions Inc | Orthotist | 582 West Market St, Akron, OH 44303 | 2007-01-08 |
| 1235290842 | Sarah Z Frankel | Orthotist | 207 N Leavitt Rd, Amherst, OH 44001-1124 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH SHORE PEDORTHICS, 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.