PRECISION ORTHOTICS & PROSTHETICS (NPI# 1619279411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619279411 |
| Entity Type | Organization |
| Organization Name | PRECISION ORTHOTICS & PROSTHETICS |
| Practice Address |
501 S Rancho Dr Ste I58 Las Vegas NV 89106-4838 |
| Practice Telephone | 7022935502 |
| Mailing Telephone | 7022935502 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | MR. JIMMY COLSON (C.E.O) |
| Authorized Official Telephone | 7027435179 |
| Authorized Official Credential | C.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
1003167500 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100509314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073082392 | Precision Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 7350 W Cheyenne Ave Ste 110, Las Vegas, NV 89129-7407 | 2018-11-15 |
| 1629043047 | Precision Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 8915 S Pecos Rd, Suite 18a, Henderson, NV 89074-7149 | 2006-02-20 |
| 1609170737 | Precision Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 526 S Tonopah Dr, Suite 120, Las Vegas, NV 89106-4043 | 2011-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRECISION ORTHOTICS & PROSTHETICS, LLC | 526 S Tonopah Dr Ste 120, Las Vegas, NV 89106-4044 |
| Street Address |
501 S RANCHO DR STE I58 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023574829 | Red Rock Behavioral Health & Wellness Center | Counselor | 501 S Rancho Dr Ste I58, Las Vegas, NV 89106-4838 | 2019-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1104456557 | Beauti' Den | Durable Medical Equipment & Medical Supplies | 9708 Gilespie St Ste 114, Las Vegas, NV 89183-7614 | 2020-01-23 |
| 1174094163 | Rider Mobility Inc. | Durable Medical Equipment & Medical Supplies | 7320 Smoke Ranch Rd Ste G, Las Vegas, NV 89128-0259 | 2018-12-17 |
| 1215426754 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 3100 E Charleston Blvd Ste 103, Las Vegas, NV 89104-6666 | 2018-05-09 |
| 1275927550 | Care Giver Support Products, LLC | Durable Medical Equipment & Medical Supplies | 723 S Casino Center Blvd, Floor 2, Las Vegas, NV 89101-6716 | 2015-03-24 |
| 1386071397 | Ksm Corporate Holdings LLC | Durable Medical Equipment & Medical Supplies | 9430 W Lake Mead Blvd, Suite 3, Las Vegas, NV 89134-8338 | 2013-10-04 |
| 1760817829 | Premier Sleep Las Vegas, LLC | Durable Medical Equipment & Medical Supplies | 5031 Wagon Trail Ave, Suite 110, Las Vegas, NV 89118-2854 | 2013-09-09 |
| 1497196943 | Diana E Walker | Durable Medical Equipment & Medical Supplies | 6595 Smoke Ranch Rd Ste 125, Las Vegas, NV 89108-7375 | 2013-07-12 |
| 1316297211 | On-time Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3333 S Maryland Pkwy, Suite #2, Las Vegas, NV 89169-3098 | 2012-09-18 |
| Find all providers in LAS VEGAS | ||||
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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.