CAROLINA PROSTHETICS & ORTHOTICS INC. (NPI# 1629229612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629229612 |
| Entity Type | Organization |
| Organization Name | CAROLINA PROSTHETICS & ORTHOTICS INC. |
| Practice Address |
1011 Tiger Blvd Suite 500 Clemson SC 29631-2915 |
| Mailing Address |
110 Liner Dr Greenwood SC 29646-2310 |
| Practice Telephone | 8646534300 |
| Practice Fax Number | 8646534600 |
| Mailing Telephone | 8646534300 |
| Mailing Fax Number | 8646534600 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | WILLIAM T MCCREA (PROSTHETIST/ORTHOTIST/OWNER) |
| Authorized Official Telephone | 8646534600 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA PROSTHETICS & ORTHOTICS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1011 TIGER BLVD SUITE 500 |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265500417 | Ricardo C Hood | Family Medicine | 1011 Tiger Blvd, Suite 400, Clemson, SC 29631-2915 | 2006-12-04 |
| 1255753372 | Southern Solace Counseling, PC | Community/Behavioral Health | 1011 Tiger Blvd, Suite 610, Clemson, SC 29631-2915 | 2014-01-08 |
| 1912333626 | St Francis Physician Services Inc | Obstetrics & Gynecology | 1011 Tiger Blvd, Suite 100, Clemson, SC 29631-2915 | 2013-09-26 |
| 1407139959 | Sena Seats Shirley | Nurse Practitioner | 1011 Tiger Blvd, Clemson, SC 29631-2915 | 2011-09-21 |
| 1467734558 | Carolina Integrative Medicine, Pa | Family Medicine | 1011 Tiger Blvd, Suite 300, Clemson, SC 29631-2915 | 2011-09-14 |
| 1053609644 | Manju Lakra | Family Medicine | 1011 Tiger Blvd, Suite 400, Clemson, SC 29631-2915 | 2011-07-16 |
| 1740442565 | Arrhythmia Consultants P.a. | Internal Medicine | 1011 Tiger Blvd, Suite 400 Upstate Professional Bldg, Clemson, SC 29631-2915 | 2008-07-02 |
| 1407026545 | Anderson Diagnostic Imaging, Inc | Radiology | 1011 Tiger Blvd, Suite 500, Clemson, SC 29631-1497 | 2008-03-05 |
| 1811192008 | Mary S Cumming | Counselor | 1011 Tiger Blvd, Suite 610, Clemson, SC 29631-2915 | 2007-06-18 |
| 1093916090 | Clemson Counseling Center, Inc. | Counselor | 1011 Tiger Blvd, Suite 610, Clemson, SC 29631-2915 | 2007-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| 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 |
|---|---|---|---|---|
| 1366056483 | C Marie Aesthetics | Prosthetic/Orthotic Supplier | 41f Goethe Rd, Bluffton, SC 29910-6001 | 2020-09-04 |
| 1124631056 | Dynesha Thomas | Prosthetic/Orthotic Supplier | 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 | 2020-08-29 |
| 1427667591 | Ashleigha Rogers | Prosthetic/Orthotic Supplier | 324 Manning Ave, Sumter, SC 29150-5763 | 2020-07-24 |
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1427676386 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1108 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2020-07-08 |
| 1881219616 | Glammed Studio | Prosthetic/Orthotic Supplier | 47 Bristlecone Ln, Elgin, SC 29045-9584 | 2020-06-08 |
| 1497374557 | Image Obsession LLC | Prosthetic/Orthotic Supplier | 1855 E Main St # Sr03, Spartanburg, SC 29307-2309 | 2020-04-09 |
| 1598394926 | Hair Replacement Systems and Hairstyles Usa Inc. | Prosthetic/Orthotic Supplier | 105 E Butler Rd Ste C, Mauldin, SC 29662-2100 | 2020-04-07 |
| 1851958284 | Richard A Katenhusen | Prosthetic/Orthotic Supplier | 181 Bluffton Rd Ste B104, Bluffton, SC 29910-6218 | 2019-05-21 |
| 1699261917 | Carolina Bone & Joint Pa | Prosthetic/Orthotic Supplier | 1 Wellness Blvd Ste 104, Irmo, SC 29063-2872 | 2018-07-10 |
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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.