EASTERN SHORE ORTHOTICS & (NPI# 1619061801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619061801 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE ORTHOTICS & |
| Practice Address |
2504 Dauphin St Suite M Mobile AL 36606-1956 |
| Practice Telephone | 2514710071 |
| Practice Fax Number | 2514711951 |
| Mailing Telephone | 2514710071 |
| Mailing Fax Number | 2514711951 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | MR. CHAD A MYERS (OWNER) |
| Authorized Official Telephone | 2519904040 |
| Authorized Official Credential | CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987144 | Eastern Shore Orthotics & | Durable Medical Equipment & Medical Supplies | 19484 Greeno Rd, Fairhope, AL 36532-3887 | 2005-07-28 |
| Street Address |
2504 DAUPHIN ST SUITE M |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| 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 |
|---|---|---|---|---|
| 1740794734 | Alabama Artificial Limb & Orthopedic Service, Inc. | Prosthetic/Orthotic Supplier | 721 Oak Circle Dr E Ste B, Mobile, AL 36609-4221 | 2017-11-29 |
| 1215374384 | Restorative Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3456 Spring Hill Ave, Ste19, Mobile, AL 36608-1523 | 2013-05-30 |
| 1043558976 | Edmond J Restivo Jr. | Prosthetic/Orthotic Supplier | 3456 Spring Hill Ave Ste 19, Mobile, AL 36608-1523 | 2013-01-28 |
| 1437407715 | Bayside Medical Supply, LLC | Prosthetic/Orthotic Supplier | 102 Item Ave, Mobile, AL 36607-2902 | 2012-08-17 |
| 1912274747 | Shearmetrics Hair Salon | Prosthetic/Orthotic Supplier | 2282 Moss Creek Ct, Mobile, AL 36695-3783 | 2011-11-22 |
| 1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
| 1790016145 | Prosthetic Wig Center Inc. | Prosthetic/Orthotic Supplier | 90 N Sage Ave, Mobile, AL 36607-2638 | 2010-01-25 |
| 1033272638 | Orthotic & Prosthetic Associates Inc | Prosthetic/Orthotic Supplier | 1557 Spring Hill Ave Ste A, Mobile, AL 36604-3218 | 2006-12-18 |
| 1447340971 | Janice S Morrissette | Prosthetic/Orthotic Supplier | 7000 Airport Blvd, Mobile, AL 36608-3713 | 2006-10-13 |
| 1063501674 | L&b Shoes Inc | Prosthetic/Orthotic Supplier | 4663 Airport Blvd, Mobile, AL 36608-3125 | 2006-10-12 |
| Find all providers in MOBILE | ||||
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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.