BOSSIER CITY PROSTHETIC & ORTHOTICS


Address: 4859 Shed Road Ste 200, Bossier City, LA 71111
Phone: 3187465000

BOSSIER CITY PROSTHETIC & ORTHOTICS (NPI# 1538315791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538315791
Entity Type Organization
Organization Name BOSSIER CITY PROSTHETIC & ORTHOTICS
Practice Address 4859 Shed Road Ste 200
Bossier City
LA 71111
Mailing Address 4859 Shed Rd Ste 200
Bossier City
LA 71111-5493
Practice Telephone 3187465000
Practice Fax Number 3187464000
Mailing Telephone 3187465000
Mailing Fax Number 3187464000
Enumeration Date 2008-08-07
Last Update Date 2008-08-07
Authorized Official Name CHARLES H DAVIS JR. (OWNER)
Authorized Official Telephone 3187465000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier LA Suppliers

Office Location

Street Address 4859 SHED ROAD STE 200
City BOSSIER CITY
State LA
Zip Code 71111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669007951 Tamara 'tammy' Larck Counselor 1525 Fullilove Drive, Shreveport, LA 71111 2020-03-06
1912538315 Lagniappe Chiropractic Chiropractor 2400 Airline Drive, Bossier City, LA 71111 2020-02-04
1649817420 Lifecare Medical Transportation, LLC. Non-emergency Medical Transport (VAN) 25 Duck Haven Pointe, Bossier City, LA 71111 2019-11-29
1770126344 Bertresea White Evans Nurse Practitioner Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 2019-10-25
1861964058 Erika Davis Reed Counselor 1515 Doctors Dr # 16, Bossier City, LA 71111 2018-12-28
1518436898 Charlotte Mckay Case Manager/Care Coordinator 31330 Hwy 22, Ste 101, Bossier City, LA 71111 2018-11-16
1992271464 Np2u, LLC Nurse Practitioner 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 2018-10-22
1114416542 Lashaunda Autrey Counselor 410 Half Moon Lane, Bossier, LA 71111 2018-05-01
1750887196 Shenya Williams-pennywell Counselor 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 2018-04-04
1336647304 Patrick Vance Physical Therapist 5000 Benton Rd Ste 1, Bossier City, LA 71111 2018-01-24
Find all providers in zip 71111

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548441934 M D Prosthetic Labs,l.l.c. Prosthetic/Orthotic Supplier 4859 Shed Rd Ste 200, Bossier City, LA 71111-5493 2007-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558970418 B'obsessed Hair Collection Prosthetic/Orthotic Supplier 3009 Ray Weiland Dr, Baker, LA 70714-3251 2020-07-27
1093337305 Sew Luxe Customs, LLC Prosthetic/Orthotic Supplier 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 2020-05-08
1831710060 The Monte' Garcia Salon Prosthetic/Orthotic Supplier 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 2020-04-28
1033746961 Orthotic & Prosthetic Solutions LLC Prosthetic/Orthotic Supplier 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 2020-03-23
1154953321 One Source Inc. Prosthetic/Orthotic Supplier 1346 Lindberg Dr Ste 8, Slidell, LA 70458-8081 2020-02-06
1255975421 Orthotic & Prosthetic Specialists, Inc. Prosthetic/Orthotic Supplier 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 2019-10-31
1356908180 Louisiana Prosthetics, LLC Prosthetic/Orthotic Supplier 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 2019-05-28
1295298321 Swamp Elite Retreat Inc Prosthetic/Orthotic Supplier 46424 Rufus Bankston Rd, Hammond, LA 70401-6108 2019-04-06
1780142836 Jaubert Prosthetics, LLC Prosthetic/Orthotic Supplier 1625 Ryan St Ste C, Lake Charles, LA 70601-5965 2019-03-07
1225501752 Adaptive Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier 1208 Louise St, Thibodaux, LA 70301-4257 2019-01-08
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Competitor

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City BOSSIER CITY
Zip Code 71111

Improve Information

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Dataset Information

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.

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