PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-MIDWEST, LLC (NPI# 1578937876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578937876 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-MIDWEST, LLC |
| Practice Address |
110 Conn Ter Lexington KY 40508-3206 |
| Mailing Address |
Po Box 865109 Orlando FL 32886-5109 |
| Practice Telephone | 8592685649 |
| Practice Fax Number | 8592685714 |
| Mailing Telephone | 8446023960 |
| Mailing Fax Number | 8132818461 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | MR. ERIC LEE MILLER (DIRECTOR ORTHOTICS AND PROSTHETICS) |
| Authorized Official Telephone | 8592685708 |
| Authorized Official Credential | CPO-L |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-MIDWEST,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | LPO-101 | KY | Suppliers |
| Street Address |
110 CONN TER |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40508-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690673 | Ryan D. Muchow | Orthopaedic Surgery | 110 Conn Ter, Lexington, KY 40508-3206 | 2006-06-22 |
| 1730730656 | Katy Ayers Marcum | Nurse Practitioner | 110 Conn Ter, Lexington, KY 40508-3206 | 2019-09-23 |
| 1467007757 | Adrianne Marx | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2019-08-05 |
| 1336639780 | Shriners Hospitals for Children | Anesthesiology | 110 Conn Ter, Lexington, KY 40508-3206 | 2018-05-11 |
| 1770099509 | Lauren Travis Snyder | Physician Assistant | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-12-15 |
| 1619416559 | Henry Dulin White II | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-02-13 |
| 1457808495 | Shriners Hospitals for Children | Physician Assistant | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-09-07 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1356794473 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1164811923 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2015-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1831669720 | Lily Namegabe | Community Health Worker | 135 Newtown Pike Bldg 1, Lexington, KY 40508 | 2018-12-04 |
| 1669994091 | Shawn Luchtefeld | Counselor | 289 W Loudon Ave, Lexington, KY 40508 | 2017-07-07 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255753422 | Candace Cross | Social Worker | Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 | 2014-01-07 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1104119890 | Thomas Michael Isaacs | Pharmacist | 130 W. Loudon Ave, Lexington, KY 40508 | 2011-05-27 |
| 1174839401 | Gerardo Manuel Heredia Melero | Obstetrics & Gynecology | Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 | 2010-08-24 |
| 1558512814 | Cortney Youens Lee | Surgery | 125 E. Maxwell St, Suite 302, Lexington, KY 40508 | 2008-10-06 |
| Find all providers in zip 40508 | ||||
| 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 |
|---|---|---|---|---|
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 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 |
| 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.