SNELL PROSTHETIC & ORTHOTIC LABORATORY (NPI# 1578807152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578807152 |
| Entity Type | Organization |
| Organization Name | SNELL PROSTHETIC & ORTHOTIC LABORATORY |
| Practice Address |
2425 W 28th Ave Pine Bluff AR 71603-5051 |
| Practice Telephone | 8705341900 |
| Practice Fax Number | 8705343187 |
| Mailing Telephone | 8705341900 |
| Mailing Fax Number | 8705343187 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | MR. RICK FLEETWOOD (CEO, CFO) |
| Authorized Official Telephone | 5016642624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | AR | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1245575570 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2915 Dave Ward Dr Ste 11, Conway, AR 72034-9375 | 2012-11-27 |
| 1881679058 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 416 W Main St, El Dorado, AR 71730-5710 | 2005-12-10 |
| 1609851872 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2300 W Main St, Russellville, AR 72801-2529 | 2005-12-10 |
| 1063497238 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 4420 E 43rd St, North Little Rock, AR 72117-2740 | 2005-12-10 |
| 1518942788 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 1411 Dodson Ave, Fort Smith, AR 72901-5109 | 2005-12-10 |
| 1427033695 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 333 Highway 5 N, Suite 4, Mountain Home, AR 72653-3026 | 2005-12-10 |
| 1154306322 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 3810 Central Ave, Suite B, Hot Springs, AR 71913-6903 | 2005-12-10 |
| 1245215417 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 3416 N College Ave, Suite 1, Fayetteville, AR 72703-5105 | 2005-12-10 |
| 1972588143 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 900 Professional Acres Dr, Jonesboro, AR 72401-4321 | 2005-12-10 |
| Street Address |
2425 W 28TH AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993538 | Havis Kent Rinehart | Prosthetist | 2425 W 28th Ave, Pine Bluff, AR 71603-5051 | 2005-06-27 |
| 1538286554 | Advanced O&p Techniques | Clinic/Center | 2425 W 28th Ave, Pine Bluff, AR 71603-5051 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1780738724 | Galster's Orthopedic Laboratories, Inc. | Prosthetic/Orthotic Supplier | 2407 S Cherry St, Pine Bluff, AR 71601-6443 | 2007-01-23 |
| 1508976671 | New Hope Prosthetic and Orthotic Services, Inc. | Prosthetic/Orthotic Supplier | 1801 W 40th Ave Ste 4a, Pine Bluff, AR 71603 | 2006-08-30 |
| 1255769766 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 1801 W 40th Ave Ste 4a, Pine Bluff, AR 71603 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1760721971 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 820 Professional Acres Dr, Jonesboro, AR 72401-4340 | 2013-02-07 |
| 1245575570 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2915 Dave Ward Dr Ste 11, Conway, AR 72034-9375 | 2012-11-27 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on SNELL PROSTHETIC & ORTHOTIC LABORATORY.
| 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.