SEAN ROBERT WOOLDRIDGE (NPI# 1669984035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669984035 |
| Entity Type | Individual |
| Full Name | SEAN ROBERT WOOLDRIDGE |
| Credential | CPO |
| Practice Address |
3031 New Bern Ave Ste 102 Raleigh NC 27610-2989 |
| Practice Telephone | 9192313132 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3031 NEW BERN AVE STE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-2989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134293012 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2006-11-20 |
| 1356940506 | Manuel Contreras | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2020-10-20 |
| 1144712654 | Mary Heaton | Prosthetist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-05-31 |
| 1104328368 | Alexandra Patricia Frost | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-03-05 |
| 1942431101 | Steven R Few | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-1214 | 2009-08-05 |
| 1649415589 | Erin John Carpino | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-1214 | 2008-12-05 |
| 1306966460 | James Mcclure | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-1214 | 2007-03-30 |
| 1518087675 | Donald L Hassler | Orthotic Fitter | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-1214 | 2007-03-30 |
| 1457471518 | Louis C Brown | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-1214 | 2007-03-30 |
| 1558481622 | Donna L Oney | Orthotic Fitter | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-1214 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
| 1588299788 | Mark R Talley | Prosthetist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2020-03-08 |
| 1144712654 | Mary Heaton | Prosthetist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-05-31 |
| 1508276775 | Shawn A Kirk | Prosthetist | 2231 E Millbrook Rd, 101, Raleigh, NC 27604-1746 | 2014-04-28 |
| 1053689042 | Catherine J Adkins | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-12-06 |
| 1700906922 | Joseph Lizotte | Prosthetist | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2007-03-30 |
| 1023166881 | Eddie Vernon White | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
| 1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
| 1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
| 1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
| 1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
| 1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| 1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
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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.