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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | LA | Suppliers |
Street Address |
4859 SHED ROAD STE 200 |
City | BOSSIER CITY |
State | LA |
Zip Code | 71111 |
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 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 |
---|---|---|---|---|
1548441934 | M D Prosthetic Labs,l.l.c. | Prosthetic/Orthotic Supplier | 4859 Shed Rd Ste 200, Bossier City, LA 71111-5493 | 2007-11-14 |
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 |
Find all providers with the same taxonomy |
City | BOSSIER CITY |
Zip Code | 71111 |
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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.