FALLS CITY LIMB & BRACE CO INC (NPI# 1598743320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598743320 |
Entity Type | Organization |
Organization Name | FALLS CITY LIMB & BRACE CO INC |
Other Organization Name | LOUISVILLE PROSTHETICS |
Practice Address |
742 East Broadway Louisville KY 40202 |
Practice Telephone | 5025842959 |
Practice Fax Number | 5025826305 |
Mailing Telephone | 5025842959 |
Mailing Fax Number | 5025826305 |
Enumeration Date | 2006-01-03 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. R WAYNE LUCKETT (CERTIFIED PROSTHETIST/ MANAGER) |
Authorized Official Telephone | 5025842959 |
Authorized Official Credential | CP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | KY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM SENIOR ADVANTAGE | 000000066275 | 01 | |
ALTERNATIVE HEALTH ANTHEM | 000000066275 | 01 | |
COMMONWEALTH ADMIN LLC | 100298 | 01 | |
KY | 90130568 | 05 | |
CHA HEALTH | 100298 | 01 | |
VETERANS ADMINISTRATION | V603P3355 | 01 | |
ABP ADMINISTRATION | 57255 | 01 | |
UNITED AMERICAN | D0137620001 | 01 | |
SIHO | 048291 | 01 | |
UNITED HEALTH CARE | 8200186 | 01 | |
ANTHEM BCBS | 000000066275 | 01 |
Other Name | Type Code |
---|---|
Louisville Prosthetics | Doing Business As Name - Organization |
Street Address |
742 EAST BROADWAY |
City | LOUISVILLE |
State | KY |
Zip Code | 40202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
Find all providers in zip 40202 |
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 |
---|---|---|---|---|
1083066468 | I Management LLC | Prosthetic/Orthotic Supplier | 1034 S Jackson St, Louisville, KY 40203-3422 | 2016-07-08 |
1679934111 | Pakmed LLC | Prosthetic/Orthotic Supplier | 2527 Nelson Miller Pkwy, Louisville, KY 40223-3161 | 2016-03-11 |
1780018085 | Beauty Personified LLC | Prosthetic/Orthotic Supplier | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2013-08-22 |
1578995155 | Motc - Louisville LLC | Prosthetic/Orthotic Supplier | 10285 Champion Farms Dr, Louisville, KY 40241-6150 | 2013-08-06 |
1902085442 | Gk Medical Inc | Prosthetic/Orthotic Supplier | 4850 Brownsboro Ctr, Louisville, KY 40207-2381 | 2007-11-01 |
1154399970 | Conti Medical Concepts | Prosthetic/Orthotic Supplier | 3006 Eastpoint Pkwy, Louisville, KY 40223-4185 | 2006-03-09 |
1396740759 | Center for Orthotic and Prosthetic Care of Kentucky LLC | Prosthetic/Orthotic Supplier | 982 Eastern Pkwy, Louisville, KY 40217-1566 | 2005-06-14 |
1720443625 | Kentucky Orthopedic Rehabilitation, LLC | Prosthetic/Orthotic Supplier | 9880 Angies Way, Suite 100, Louisville, KY 40241-2851 | 2015-12-18 |
1801251715 | Kentucky Orthopedic Rehabilitation, LLC | Prosthetic/Orthotic Supplier | 315 E Broadway, #195, Louisville, KY 40202-3700 | 2015-12-18 |
1205175890 | Physician Services Group | Prosthetic/Orthotic Supplier | 6009 Brownsboro Park Blvd, Unit A, Louisville, KY 40207-1291 | 2013-02-03 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40202 |
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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.