COASTAL PROSTHETICS & ORTHOTICS LLC (NPI# 1558328393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558328393 |
| Entity Type | Organization |
| Organization Name | COASTAL PROSTHETICS & ORTHOTICS LLC |
| Practice Address |
6320 N Center Dr Bldg #15 Ste #201 Norfolk VA 23502 |
| Mailing Address |
6320 North Center Dr Bldg #15 Ste #201 Norfolk VA 23502 |
| Practice Telephone | 7578925300 |
| Practice Fax Number | 7578925303 |
| Mailing Telephone | 7578925300 |
| Mailing Fax Number | 7578925303 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | STEVE A SIVERD (PRESIDENT) |
| Authorized Official Telephone | 7578925300 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS | 434534 | 01 |
| VA | 9190414 | 05 | |
| VA | 7703398 | 05 | |
| VA | ACM | 1029129 | 01 |
| VA | SENTARA | 39563 | 01 |
| Street Address |
6320 N CENTER DR BLDG #15 STE #201 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184029399 | Heidi Wagner | Orthotist | 6320 N Center Dr, Bldg #15 Suite 201, Norfolk, VA 23502-4009 | 2014-10-30 |
| 1356772305 | Anna Ellesor Gray Detweiler | Orthotist | 6320 N Center Dr, Bldg 15 Suite 201, Norfolk, VA 23502-4009 | 2013-12-02 |
| 1497057749 | Lhcg Xxiv, LLC | Home Health | 6320 N Center Dr, Suite 202, Norfolk, VA 23502-4009 | 2010-11-18 |
| 1356667877 | Robert Meade Siverd IIi | Orthotist | 6320 N Center Dr, Bldg #15, Ste #201, Norfolk, VA 23502-4009 | 2010-04-08 |
| 1780900399 | Ryan Andrew Dougherty | Prosthetist | 6320 N Center Dr, Bldg#15, Ste #201, Norfolk, VA 23502-4009 | 2010-04-08 |
| 1245566009 | Jody C. Foley | Social Worker | 6320 N Center Dr, Suite 101, Norfolk, VA 23502-4009 | 2009-10-28 |
| 1255515300 | Aubrey Leon Warren | Specialist | 6320 N Center Dr, 201, Norfolk, VA 23502-4009 | 2007-12-26 |
| 1386856011 | Finney Zimmerman Psychiatric Associates, Plc | Psychologist | 6320 N Center Dr, Suite 203, Norfolk, VA 23502-4009 | 2007-05-04 |
| 1467597518 | David William Reid | Psychiatry & Neurology | 6320 N Center Dr, Suite 101, Norfolk, VA 23502-4009 | 2007-02-20 |
| 1922140029 | Mark Yarhouse | Psychologist | 6320 N Center Dr, Suite 101, Norfolk, VA 23502-4009 | 2007-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| 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 |
|---|---|---|---|---|
| 1225637028 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 6251 E Virginia Beach Blvd Ste 135, Norfolk, VA 23502-2824 | 2020-10-22 |
| 1376102053 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6161 Kempsville Cir Ste 300, Norfolk, VA 23502-3932 | 2019-06-06 |
| 1972529386 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 301 Cumberland St, Norfolk, VA 23510-2499 | 2006-07-15 |
| 1073593331 | Booden Orthopedic & Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 2418 Granby St, Norfolk, VA 23517-1422 | 2006-01-20 |
| 1033293774 | Ronald Bernard Hopkins | Prosthetic/Orthotic Supplier | 420 N Center Dr, Suite 115, Norfolk, VA 23502-4007 | 2006-10-25 |
| 1952485617 | Innovative Joint Technologies | Prosthetic/Orthotic Supplier | 420 N Center Dr, Suite 115, Norfolk, VA 23502-4007 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869324 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 4057 Taylor Rd Ste P, Chesapeake, VA 23321-5527 | 2020-10-22 |
| 1982203709 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 211 Bulifants Blvd Ste B, Williamsburg, VA 23188-5741 | 2020-10-22 |
| 1326657818 | Hairsonality Rx | Prosthetic/Orthotic Supplier | 110 Coliseum Xing # 5126, Hampton, VA 23666-5971 | 2020-07-30 |
| 1699393850 | Bionic Innovations LLC | Prosthetic/Orthotic Supplier | 896 Haden Ln, Crozet, VA 22932-2833 | 2020-07-13 |
| 1821610361 | Takeria Lewis | Prosthetic/Orthotic Supplier | 300 Karl Linn Dr Apt 115, North Chesterfield, VA 23225-6979 | 2020-05-06 |
| 1033740139 | Hair Saviours | Prosthetic/Orthotic Supplier | 25 Cornerstone Dr, Stafford, VA 22554-6208 | 2020-01-28 |
| 1689212078 | Monica Evette Dickenson | Prosthetic/Orthotic Supplier | 2001 Southampton St, Woodbridge, VA 22191-2660 | 2019-12-16 |
| 1588202105 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 7301 Forest Ave Ste 202, Richmond, VA 23226-3792 | 2019-12-13 |
| 1396388187 | Seven Degree North Hair | Prosthetic/Orthotic Supplier | 700 Lombardy Ave Apt 7402, Newport News, VA 23606-3367 | 2019-10-24 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
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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.