LISTON PROSTHETICS, LLC (NPI# 1669935292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669935292 |
Entity Type | Organization |
Organization Name | LISTON PROSTHETICS, LLC |
Practice Address |
5292 S College Dr Ste 103 Murray UT 84123-2959 |
Practice Telephone | 3854253960 |
Practice Fax Number | 3854253965 |
Mailing Telephone | 3854253960 |
Mailing Fax Number | 3854253965 |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-04-10 |
Authorized Official Name | MR. JAMES WILLIAM LISTON (CERTIFIED PROSTHETIST) |
Authorized Official Telephone | 3854253960 |
Authorized Official Credential | CP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Street Address |
5292 S COLLEGE DR STE 103 |
City | MURRAY |
State | UT |
Zip Code | 84123-2959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104396217 | James W Liston | Prosthetist | 5292 S College Dr Ste 103, Murray, UT 84123-2959 | 2018-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
Find all providers in zip 84123 |
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 |
---|---|---|---|---|
1356792634 | Fit Prosthetics LLC | Prosthetic/Orthotic Supplier | 154 E Myrtle Ave, Suite #100, Murray, UT 84107-4849 | 2016-06-28 |
1528154572 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6191 S State St Ste 200, Murray, UT 84107-7265 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578035713 | Feminine Forms LLC | Prosthetic/Orthotic Supplier | 345 S 500 E, American Fork, UT 84003-2525 | 2018-12-28 |
1841761095 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4225 W Lake Park Blvd Ste 225, West Valley City, UT 84120-8213 | 2018-12-16 |
1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
1992226302 | Freedom Prosthetic & Orthotics, LLC | Prosthetic/Orthotic Supplier | 356 E 600 S, St George, UT 84770-3949 | 2017-07-06 |
1750760369 | Women Restore LLC | Prosthetic/Orthotic Supplier | 1171 Expressway Ln, Spanish Fork, UT 84660-1331 | 2015-05-28 |
1114306891 | Northwest Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 642 Kirby Ln Ste 103, Spanish Fork, UT 84660-5753 | 2015-05-27 |
1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
1851686588 | Walking Comfort LLC. | Prosthetic/Orthotic Supplier | 627 W. Marketplace Dr., Centerville, UT 84014-0000 | 2011-06-10 |
1205155777 | Jenco Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 7026 South Commerce Park Dr, Suite 2, Midvale, UT 84047-1026 | 2010-05-24 |
1275762254 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 157 N Paiute Dr Reservation Rd., Kanosh, UT 84637 | 2009-07-10 |
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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.