PERFECTLY IMPERFECT WIG COLLECTION (NPI# 1578186409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578186409 |
| Entity Type | Organization |
| Organization Name | PERFECTLY IMPERFECT WIG COLLECTION |
| Practice Address |
418 Carrollton Ave Lexington MS 39095-3212 |
| Practice Telephone | 6012015625 |
| Practice Fax Number | 6014766501 |
| Mailing Telephone | 6012015625 |
| Mailing Fax Number | 6014766501 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | RUGGERA RUSSELL (OWNER) |
| Authorized Official Telephone | 6012015625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
418 CARROLLTON AVE |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| 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 |
|---|---|---|---|---|
| 1942656145 | Floyd Brace Company, Inc. | Prosthetic/Orthotic Supplier | 147 Vera Rd, Suite F, Lexington, SC 29072-3756 | 2016-05-06 |
| 1740535020 | Bb&e Medical Solutions LLC | Prosthetic/Orthotic Supplier | 65 Woods Edge Dr, Lexington, VA 24450-1874 | 2012-07-23 |
| 1578746988 | Lisa Thomason Jester | Prosthetic/Orthotic Supplier | 28 E 1st St, Lexington, NC 27292-3402 | 2007-12-07 |
| 1275628430 | Central Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 3295 Eagle View Lane, Lexington, KY 40509-1852 | 2006-10-04 |
| 1144247925 | Prosthetic and Orthotic Associates,llc | Prosthetic/Orthotic Supplier | 395 Elaine Dr, Suite 120, Lexington, KY 40504-2705 | 2006-07-16 |
| 1124025333 | Spinesource America, L.l.c | Prosthetic/Orthotic Supplier | 354 Waller Ave, Ste. 110, Lexington, KY 40504-2928 | 2005-07-01 |
| 1902801996 | Kenney Orthopedic, LLC | Prosthetic/Orthotic Supplier | 449 Lewis Hargett Cir, Suite 110, Lexington, KY 40503-3668 | 2005-06-16 |
| 1578937876 | Pediatric Orthotic and Prosthetic Services-midwest, LLC | Prosthetic/Orthotic Supplier | 110 Conn Ter, Lexington, KY 40508-3206 | 2015-11-24 |
| 1891055232 | Bracing Mascetomy and Orthotics Inc | Prosthetic/Orthotic Supplier | 100 Old Cherokee Rd Ste F, Lexington, SC 29072-7959 | 2012-05-19 |
| 1750610002 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 171 N Eagle Creek Dr, Suite 102, Lexington, KY 40509-1801 | 2009-12-16 |
| Find all providers in LEXINGTON | ||||
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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.