SPECTRABRACE, LTD (NPI# 1639220247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639220247 |
| Entity Type | Organization |
| Organization Name | SPECTRABRACE, LTD |
| Practice Address |
340 Thomas More Pkwy Crestview Hills KY 41017-5100 |
| Mailing Address |
11802 Brinley Ave Suite 102 Louisville KY 40243-1089 |
| Practice Telephone | 8594260726 |
| Practice Fax Number | 8594260726 |
| Mailing Telephone | 5022442774 |
| Mailing Fax Number | 5022448085 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA D TRASK (VP, CORPORATE DEVELOPMENT) |
| Authorized Official Telephone | 5022442774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 240293 | KY | Suppliers |
| X | 335E00000X | Prosthetic/Orthotic Supplier | 240293 | KY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710037544 | Spectrabrace, Ltd | Durable Medical Equipment & Medical Supplies | 500 Thomas More Pkwy, Crestview Hills, KY 41017-3454 | 2007-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SPECTRABRACE, LTD. | 11802 Brinley Ave Ste 102, Louisville, KY 40243 |
| Vermont Business Registrations | SPECTRABRACE, LTD. | 11802 Brinley Ave, Louisville, KY 40243 |
| Street Address |
340 THOMAS MORE PKWY |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952722 | Kendall E. Hansen | Anesthesiology | 340 Thomas More Pkwy, Ste 260, Crestview Hills, KY 41017-5100 | 2005-06-15 |
| 1790290278 | Russell Hall | Nurse Anesthetist, Certified Registered | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2017-12-06 |
| 1104365220 | Jeanne Ellen Powell | Nurse Practitioner | 340 Thomas More Pkwy, Suite 220, Crestview Hills, KY 41017-5100 | 2017-02-22 |
| 1164788261 | Summit Medical Group | Nurse Practitioner | 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017-5100 | 2012-04-03 |
| 1710270327 | Ryan Matthew Wilson | Plastic Surgery | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2011-05-16 |
| 1942532825 | Summit Medical Group | Clinic/Center | 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 | 2010-02-03 |
| 1134392335 | Nicole Marie Hausfeld | Physical Therapist | 340 Thomas More Pkwy, Suite 220, Crestview Hills, KY 41017-5100 | 2008-04-08 |
| 1346468030 | The Plastic Surgery Group | Specialist | 340 Thomas More Pkwy, Suite 100, Crestview Hills, KY 41017-5100 | 2007-04-20 |
| 1407958176 | Matthew B Ebacher | Nurse Practitioner | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2006-09-02 |
| 1740394642 | Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group | Internal Medicine | 340 Thomas More Pkwy, Suite 160a, Crestview Hills, KY 41017-5100 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1831673839 | Ati Cpap Solutions | Durable Medical Equipment & Medical Supplies | 233 Thomas More Pkwy, Crestview Hills, KY 41017-3423 | 2018-09-17 |
| 1376965376 | Advanced Spine & Pain Management Inc | Durable Medical Equipment & Medical Supplies | 320 Thomas Moore Pkwy, Suite 202, Crestview Hills, KY 41017-3410 | 2014-01-09 |
| 1003439068 | Mayfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 544 Centre View Blvd., Crestview Hills, KY 41017-3400 | 2020-05-26 |
| 1083244750 | All American Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 2617 Legends Way, Crestview Hills, KY 41017-2363 | 2020-01-22 |
| 1336706415 | Advanced Technology of Kentucky Inc. | Durable Medical Equipment & Medical Supplies | 233 Thomas More Pkwy, Crestview Hills, KY 41017-3423 | 2019-05-23 |
| 1306345723 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 320 Thomas More Pkwy Ste 202, Crestview Hills, KY 41017-3456 | 2018-02-12 |
| 1902275654 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2015-09-23 |
| 1154572022 | Orthocincy | Durable Medical Equipment & Medical Supplies | 2845 Chancellor Dr, Crestview Hills, KY 41017 | 2008-10-09 |
| 1710037544 | Spectrabrace, Ltd | Durable Medical Equipment & Medical Supplies | 500 Thomas More Pkwy, Crestview Hills, KY 41017-3454 | 2007-01-12 |
| 1205900198 | Brace Shop & Prosthetic Services Inc | Durable Medical Equipment & Medical Supplies | 375 Thomas More Pkwy, Crestview Hills, KY 41017-2176 | 2006-11-20 |
| Find all providers in CRESTVIEW HILLS | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
Please comment or provide details below to improve the information on SPECTRABRACE, LTD.
| 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.