FOOTIT SURGICAL SUPPLIES, INC (NPI# 1639142722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639142722 |
| Entity Type | Organization |
| Organization Name | FOOTIT SURGICAL SUPPLIES, INC |
| Other Organization Name | FOOTIT HEALTH CARE STORE |
| Practice Address |
1 W Boylston St Ste 201 Worcester MA 01605-1274 |
| Mailing Address |
2885 Loker Ave E Carlsbad CA 92010-6626 |
| Practice Telephone | 7742438410 |
| Mailing Telephone | 7607955440 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | BRAD LEE (PRESIDENT / CEO) |
| Authorized Official Telephone | 7607955440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| FOOTIT HEALTH CARE STORE | Doing Business As Name - Organization |
| Street Address |
1 W BOYLSTON ST STE 201 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831733591 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 1 W Boylston St Ste 201, Worcester, MA 01605-1274 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965499 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 435 Shrewsbury St Ste P, Worcester, MA 01604-1689 | 2019-10-30 |
| 1932761665 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 12 Queen St Rm 129, Worcester, MA 01610-2411 | 2019-07-02 |
| 1538664776 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 85 Prescott St Ste 302a, Worcester, MA 01605-2610 | 2018-03-29 |
| 1275087322 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 398 Belmont St, Worcester, MA 01604-1030 | 2016-08-06 |
| 1447640297 | Pillgrams | Durable Medical Equipment & Medical Supplies | 253 Fairmont Ave, Worcester, MA 01604-4778 | 2015-02-02 |
| 1255747655 | Claim Path Massachusetts, LLC | Durable Medical Equipment & Medical Supplies | 210 Park Ave # 359, Worcester, MA 01609-2246 | 2014-07-07 |
| 1689980351 | William A Allen Co Inc | Durable Medical Equipment & Medical Supplies | 452 W Boylston St, Worcester, MA 01606-3225 | 2010-08-19 |
| 1740503051 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 25 Tobias Boland Way, Worcester, MA 01607-2103 | 2010-03-02 |
| 1558533521 | Sunrise Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 10 Harvard St, Worcester, MA 01609-2831 | 2008-03-30 |
| 1124208681 | Chicopee Medical Supply Company Inc | Durable Medical Equipment & Medical Supplies | 346 Chandler St, Worcester, MA 01602-3442 | 2007-11-13 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on FOOTIT SURGICAL SUPPLIES, INC.
| 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.