MARY FREE BED ORTHOTICS AND PROSTHETICS (NPI# 1528096997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528096997 |
| Entity Type | Organization |
| Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
| Other Organization Name | MARY FREE BED BRACE AND CORSET SHOP |
| Practice Address |
360 Lafayette Ave Se Suite 330 Grand Rapids MI 49503-4677 |
| Mailing Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Practice Telephone | 6163561916 |
| Practice Fax Number | 6163561868 |
| Mailing Telephone | 6163561916 |
| Mailing Fax Number | 6163561868 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | MR. MARK A PORTH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6163561916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
========= | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS UPIN | 530D105100 | 01 |
| MI | 874438302 | 05 |
| Other Name | Type Code |
|---|---|
| Mary Free Bed Brace and Corset Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963817 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 502 S Hamilton St, Saginaw, MI 48602-1511 | 2019-10-15 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1154359537 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 1078 East Sternberg Rd, Muskegon, MI 49444-8796 | 2006-06-28 |
| 1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
| 1881155794 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2019-03-26 |
| 1700359908 | Mary Free Bed Orthotics and Prosthetics | Orthotist | 200 N Homer St, Lansing, MI 48912-4741 | 2019-01-10 |
| 1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
| 1437187804 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 12662 Riley St, Suite 140, Holland, MI 49424-8023 | 2006-06-28 |
| 1245268622 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| 1184607335 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 235 Wealthy St Se, Ste 1100, Grand Rapids, MI 49503-5247 | 2005-11-22 |
| Street Address |
360 LAFAYETTE AVE SE SUITE 330 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
| 1942756481 | Carly Heinz | Speech-Language Pathologist | 360 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4677 | 2016-08-25 |
| 1801342340 | Caitlin Lundsten | Occupational Therapist | 360 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4677 | 2016-08-25 |
| 1669928107 | Kate Zvonek | Speech-Language Pathologist | 360 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4677 | 2016-08-25 |
| 1003362542 | Scott Hower | Speech-Language Pathologist | 360 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4677 | 2016-08-25 |
| 1275834426 | Spectrum Health Primary Care Partners | Pediatrics | 360 Lafayette Ave Se, Grand Rapids, MI 49503-4600 | 2010-11-04 |
| 1245268622 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548751746 | Integrative Rehabilitation Medical LLC | Durable Medical Equipment & Medical Supplies | 1515 Michigan St Ne Ste 115, Grand Rapids, MI 49503-2031 | 2018-05-23 |
| 1417364100 | Northern Orthotic and Prosthetic Center | Durable Medical Equipment & Medical Supplies | 1279 S Pokegama Ave, Grand Rapids, MN 55744-4208 | 2014-07-15 |
| 1932534138 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 502 Se 10th St, Grand Rapids, MN 55744-3921 | 2013-09-06 |
| 1427359082 | Home Health Depot, Inc. | Durable Medical Equipment & Medical Supplies | 4503 Clay Ave Sw, Grand Rapids, MI 49548-3066 | 2010-11-12 |
| 1578897559 | Mobility Center Inc. | Durable Medical Equipment & Medical Supplies | 4280 Plainfiled Ave Ne, Grand Rapids, MI 49525-1194 | 2009-09-24 |
| 1447583356 | Huizingh's Furniture | Durable Medical Equipment & Medical Supplies | 528 28th St Se, Grand Rapids, MI 49548-1263 | 2009-09-09 |
| 1306093463 | Custom Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1001 S Pokegama Ave Ste A, Grand Rapids, MN 55744-3919 | 2008-08-20 |
| 1255481933 | Michael J. Crawford, M.d., P.C. | Durable Medical Equipment & Medical Supplies | 415 College Ave Ne, Grand Rapids, MI 49503-1705 | 2007-01-12 |
| 1003834946 | Carelinc Medical Equipment & Supply Co LLC | Durable Medical Equipment & Medical Supplies | 89 54th St Sw, Grand Rapids, MI 49548-5609 | 2006-07-18 |
| 1831570555 | Richard S Neuman Dds P C | Durable Medical Equipment & Medical Supplies | 3930 Burton St Se, Grand Rapids, MI 49546-5819 | 2015-06-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MARY FREE BED ORTHOTICS AND PROSTHETICS.
| 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.