LANDRA PROSTHETICS AND ORTHOTICS INC


Address: 14725 Northline Rd, Southgate, MI 48195-2407
Phone: 7342818144

LANDRA PROSTHETICS AND ORTHOTICS INC (NPI# 1659458214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659458214
Entity Type Organization
Organization Name LANDRA PROSTHETICS AND ORTHOTICS INC
Other Organization Name LANDRA PROSTHETICS & ORTHOTICS
Practice Address 14725 Northline Rd
Southgate
MI 48195-2407
Mailing Address Po Box 34
Trenton
MI 48183-0034
Practice Telephone 7342818144
Mailing Telephone 7342818144
Enumeration Date 2006-11-01
Last Update Date 2009-10-08
Authorized Official Name MR. STEVEN JAMES LANDRA (PRESIDENT)
Authorized Official Telephone 7342818144
Authorized Official Credential C.P.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
Landra Prosthetics & Orthotics Doing Business As Name - Organization

Office Location

Street Address 14725 NORTHLINE RD
City SOUTHGATE
State MI
Zip Code 48195-2407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206656 Destiny D Harris Social Worker 14799, Southgate, MI 48195 2020-05-13
1285102368 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 16256 Fort St, Southgate, MI 48195 2018-11-07
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1255824025 Kiesta Janell Lindsey Social Worker 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 2018-06-07
1417473224 Suzette Michele Watson Nurse Practitioner 14319 Dix-toledo, Southgate, MI 48195 2017-08-15
1275069486 Liza Du Plessis Student in an Organized Health Care Education/Training Program 13111 Allen Road, Southgate, MI 48195 2017-05-08
1497290456 Beaumont Health Clinic/Center 15777 Northline, Southgate, MI 48195 2016-12-30
1184172876 Felicia Wilson Licensed Practical Nurse 15771 Wildemere, Southgate, MI 48195 2016-09-12
1225487978 Stacey Petrick-strickland Technician, Other 12189 Agnes, Southgate, MI 48195 2016-06-03
1205298486 Ashley Francis Hearing Instrument Specialist 18800 Eureka Rd., Southgate, MICHIGAN 48195 2016-03-25
Find all providers in zip 48195

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093937104 Michigan Orthopedic Services LLC Prosthetic/Orthotic Supplier 15400 Northline Rd., Southgate, MI 48195-2333 2007-05-02
1356349807 Sondra Robin Prosthetic/Orthotic Supplier 13498 Dix Toledo Rd, Southgate, MI 48195-2430 2005-07-08
1427106319 Binson's Hospital Supplies, Inc. Prosthetic/Orthotic Supplier 18800 Eureka Rd, Southgate, MI 48195-3166 2007-01-08
1477642270 Ronald Lee Durrett Prosthetic/Orthotic Supplier 525 Alexandria Pike, Suite 250, Southgate, KY 41071-3290 2006-10-12
1346337599 Northern Kentucky Foot Specialists, Psc Prosthetic/Orthotic Supplier 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 2006-10-09
1366539512 Northern Kentucky Foot Specialists, Psc Prosthetic/Orthotic Supplier 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 2006-10-09

Providers in the same taxonomy and state

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
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Competitor

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City SOUTHGATE
Zip Code 48195

Improve Information

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Dataset Information

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.

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