WEST COAST ORTHOTICS AND PROSTHETICS (NPI# 1619341567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619341567 |
| Entity Type | Organization |
| Organization Name | WEST COAST ORTHOTICS AND PROSTHETICS |
| Other Organization Name | WEST COAST O & P |
| Practice Address |
4915 Stanton Blvd Montague MI 49437-1039 |
| Practice Telephone | 2318940045 |
| Mailing Telephone | 2318940045 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Authorized Official Name | MR. JOSHUA C RYDER (CEO) |
| Authorized Official Telephone | 2318940045 |
| Authorized Official Credential | CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CO2476 | VA | Suppliers |
| Other Name | Type Code |
|---|---|
| West Coast O & P | Doing Business As Name - Organization |
| Street Address |
4915 STANTON BLVD |
| City | MONTAGUE |
| State | MI |
| Zip Code | 49437-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538295886 | James M Husiak | Dentist | 8794 Spring Street, Montague, MI 49437 | 2007-02-23 |
| 1467530832 | Barbara Jean Brown | Physical Therapist | 9219 Water Street, Shoreline Rehab, Montague, MI 49437 | 2006-11-01 |
| 1740377548 | Susan Lynn Brufladt | Pharmacist | 8744 Ferry St., Montague, MI 49437 | 2006-10-05 |
| 1639257009 | Marilyn Louise Balgooyen | Physical Therapist | 9219 Water Street, Shoreline Rehab, Montague, MI 49437 | 2006-11-01 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1235611757 | Bellmark Life Coaching | Counselor | 4581 Stanton Blvd, Montague, MI 49437-1060 | 2018-08-31 |
| 1194771824 | David Pastoor | Family Medicine | 4478 Dowling St, Montague, MI 49437-1201 | 2006-05-25 |
| 1083892921 | Prashanti Bishan Sarup Saxena | Physical Therapist | 4478 Dowling St, Montague, MI 49437-1201 | 2008-02-02 |
| 1821121260 | Integrated Health Professionals, PC | Physical Therapist | 4478 Dowling St, Montague, MI 49437-1201 | 2007-03-14 |
| 1285075671 | Robin Dawn Dunn | Counselor | 8813 Water St, Montague, MI 49437-1203 | 2013-07-12 |
| Find all providers in zip 49437 | ||||
| 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 |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
| Find all providers with the same taxonomy | ||||
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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.