CHARLESTON ORTHOPEDIC APPLIANCES INC (NPI# 1649203670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649203670 |
| Entity Type | Organization |
| Organization Name | CHARLESTON ORTHOPEDIC APPLIANCES INC |
| Other Organization Name | CHARLESTON ORTHPEDIC |
| Practice Address |
1532 Kanawha Blvd W Charleston WV 25312-2533 |
| Practice Telephone | 3043438994 |
| Practice Fax Number | 3047202078 |
| Mailing Telephone | 3043438994 |
| Mailing Fax Number | 3047202078 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | MR. CECIL A TANKERSLEY (PRESIDENT) |
| Authorized Official Telephone | 3043438994 |
| Authorized Official Credential | CO,BOCO,C-PED,RT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NOT APPLICABLE | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2417067 | 05 | |
| WV | BLUE CROSS & BLUE SHIELD | 000201174 | 01 |
| WV | 0148049000 | 05 |
| Other Name | Type Code |
|---|---|
| CHARLESTON ORTHPEDIC | Doing Business As Name - Organization |
| Street Address |
1532 KANAWHA BLVD W |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25312-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362391 | Ten Up Ministries, Inc | Counselor | 6697 Rocky Fork Road, Charleston, WV 25312 | 2018-07-05 |
| 1215443890 | Jodie Louise Carr | Technician | 52 Bayles Drive, Charleston, WV 25312 | 2017-12-19 |
| 1760886824 | First Settlement Physical Therapy | Physical Therapist | 6281 Sissonville Dr, Suite B, Charleston, WV 25312 | 2014-10-20 |
| 1790947000 | Gavin Neil Hogue | Preventive Medicine | 102 Patrick St, Charleston, WV 25312 | 2008-06-27 |
| 1942487822 | Kines Family Pharmacy Inc | Pharmacy | 6097 Sissonville Dr, Charleston, WV 25312 | 2008-01-23 |
| 1447336870 | Sissonville Dental Care Center | Dentist | 1086 Martins Branch Road, Charleston, WV 25312 | 2006-10-27 |
| 1497838981 | Philip Andrew Vicini | Dentist | 2018 Martins Branch Drive, Sissonville, WV 25312 | 2006-10-20 |
| 1487752085 | Charles Lester Smith | Dentist | 1501 7th Ave, Charleston, WV 25312 | 2006-09-20 |
| 1710085246 | Richard Duff Smith | Dentist | 1501 Seventh Avenue, Charleston, WV 25312 | 2006-09-20 |
| 1144337395 | Jon Christopher Smith | Dentist | 1501 Seventh Ave, Charleston, WV 25312 | 2006-08-24 |
| Find all providers in zip 25312 | ||||
| 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 |
|---|---|---|---|---|
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1306350426 | Musc Prosthetic Orthotic Services LLC | Prosthetic/Orthotic Supplier | 135 Rutledge Ave Fl 4, Charleston, SC 29425-8903 | 2017-11-28 |
| 1669893624 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1331 Ashley River Rd Bldg C, Charleston, SC 29407-5315 | 2013-12-18 |
| 1174848485 | Mcgrew Orthopedic, LLC | Prosthetic/Orthotic Supplier | 1301 Washington Street W, Charleston, WV 25302-1909 | 2010-03-30 |
| 1972747855 | Carolina Orthotics and Prosthetics of Myrtle Beach LLC | Prosthetic/Orthotic Supplier | 285 Meeting St, Charleston, SC 29401-1550 | 2009-04-23 |
| 1982884433 | Lehotay Prosthetics, LLC | Prosthetic/Orthotic Supplier | 624 Central Ave, Charleston, WV 25302-1912 | 2007-11-13 |
| 1548454242 | C Howell Shoes Inc | Prosthetic/Orthotic Supplier | 1755 Sam Rittenberg Blvd, Charleston, SC 29407-4927 | 2007-09-05 |
| 1770774895 | Adaptive Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1033 Wappoo Rd, Suite E, Charleston, SC 29407-6087 | 2007-08-05 |
| 1639124423 | Mountain State Prosthetics, LLC | Prosthetic/Orthotic Supplier | 216 Brooks St, Suite 100, Charleston, WV 25301-1828 | 2006-05-23 |
| 1811968720 | Active Mobility, LLC | Prosthetic/Orthotic Supplier | 18 Leinbach Dr, Unit E, Charleston, SC 29407-7916 | 2006-01-30 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25312 |
Please comment or provide details below to improve the information on CHARLESTON ORTHOPEDIC APPLIANCES 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.