INNOVATIVE PROSTHETIC CARE, LLC (NPI# 1679852586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679852586 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PROSTHETIC CARE, LLC |
| Practice Address |
1109 Wi-65 Service Rd N Mobile AL 36618 |
| Mailing Address |
9034b Carl Legett Rd Gulfport MS 39503-6234 |
| Practice Telephone | 2514700901 |
| Practice Fax Number | 2516501671 |
| Mailing Telephone | 2286040818 |
| Mailing Fax Number | 2286040815 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-10-13 |
| Authorized Official Name | MRS. LESLIE A PATTON (OWNER/MANAGER) |
| Authorized Official Telephone | 2514700901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 535 | AL | Suppliers |
| Street Address |
1109 WI-65 SERVICE RD N |
| City | MOBILE |
| State | AL |
| Zip Code | 36618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114319944 | Gina Deering | Pharmacist | 5651 Moffett Rd, Suite C, Mobile, AL 36618 | 2015-03-03 |
| 1245510403 | Thuy-ngan Thi Duong | Pharmacist | 5651 Moffett Road, Mobile, AL 36618 | 2011-08-19 |
| 1649454695 | Louis James Naman | Dentist | 4137 Moffelt Rd., Mobile, AL 36618 | 2007-12-27 |
| 1235254277 | Amie G Webb | Pharmacist | 5651 C Moffat Rd, Mobile, AL 36618 | 2007-03-20 |
| 1659431682 | Gerald Edward Berger | Dentist | 5216 Overlook Road, Mobile, AL 36618 | 2006-12-11 |
| 1780779314 | Tammy Dubuc | Pharmacist | 5651 C Moffet Road, Mobile, AL 36618 | 2006-10-03 |
| 1245330711 | Dana B Lambert | Pharmacist | 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 | 2006-09-25 |
| 1861444689 | Michael Carl Madden Sr. | Family Medicine | 7505 Moffett Rd, Mobile, AL 36618 | 2006-05-17 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| 1972101574 | The Way To Wellness Counseling LLC | Social Worker | 3762 Moffett Rd, Mobile, AL 36618-1215 | 2020-10-15 |
| Find all providers in zip 36618 | ||||
| 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 |
|---|---|---|---|---|
| 1740794734 | Alabama Artificial Limb & Orthopedic Service, Inc. | Prosthetic/Orthotic Supplier | 721 Oak Circle Dr E Ste B, Mobile, AL 36609-4221 | 2017-11-29 |
| 1215374384 | Restorative Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3456 Spring Hill Ave, Ste19, Mobile, AL 36608-1523 | 2013-05-30 |
| 1043558976 | Edmond J Restivo Jr. | Prosthetic/Orthotic Supplier | 3456 Spring Hill Ave Ste 19, Mobile, AL 36608-1523 | 2013-01-28 |
| 1437407715 | Bayside Medical Supply, LLC | Prosthetic/Orthotic Supplier | 102 Item Ave, Mobile, AL 36607-2902 | 2012-08-17 |
| 1912274747 | Shearmetrics Hair Salon | Prosthetic/Orthotic Supplier | 2282 Moss Creek Ct, Mobile, AL 36695-3783 | 2011-11-22 |
| 1790016145 | Prosthetic Wig Center Inc. | Prosthetic/Orthotic Supplier | 90 N Sage Ave, Mobile, AL 36607-2638 | 2010-01-25 |
| 1033272638 | Orthotic & Prosthetic Associates Inc | Prosthetic/Orthotic Supplier | 1557 Spring Hill Ave Ste A, Mobile, AL 36604-3218 | 2006-12-18 |
| 1447340971 | Janice S Morrissette | Prosthetic/Orthotic Supplier | 7000 Airport Blvd, Mobile, AL 36608-3713 | 2006-10-13 |
| 1063501674 | L&b Shoes Inc | Prosthetic/Orthotic Supplier | 4663 Airport Blvd, Mobile, AL 36608-3125 | 2006-10-12 |
| 1972526861 | Advantage Diabetic and Medical | Prosthetic/Orthotic Supplier | 107 N Florida St, Mobile, AL 36607-3009 | 2006-07-25 |
| Find all providers in MOBILE | ||||
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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.