GENESIS DIABETIC SHOES & MEDICAL SUPPLIES


Address: 3806 1/2 Park Ave, Wilmington, NC 28403-6756
Phone: 9102796181

GENESIS DIABETIC SHOES & MEDICAL SUPPLIES (NPI# 1699024489) 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) 1699024489
Entity Type Organization
Organization Name GENESIS DIABETIC SHOES & MEDICAL SUPPLIES
Practice Address 3806 1/2 Park Ave
Wilmington
NC 28403-6756
Mailing Address 608 Wright St
Wilmington
NC 28401-5722
Practice Telephone 9102796181
Mailing Telephone 9102796181
Enumeration Date 2012-09-07
Last Update Date 2012-09-07
Authorized Official Name TANITA WALLACE (OWNER)
Authorized Official Telephone 9102796181
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 3806 1/2 PARK AVE
City WILMINGTON
State NC
Zip Code 28403-6756

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
Find all providers in zip 28403

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
1316585789 Orthologix, LLC Prosthetic/Orthotic Supplier 2700 Silverside Rd Ste 5a, Wilmington, DE 19810-3724 2019-12-17
1437450293 Mid Atlantic Prosthetics and Orthotics North Prosthetic/Orthotic Supplier 2604 Kirkwood Hwy, Suite C, Wilmington, DE 19805-4910 2010-11-10
1750601944 Adaptive Technologies, LLC Prosthetic/Orthotic Supplier 1960 South 17th Street, Suite 201, Wilmington, NC 28401 2010-06-10
1992938757 Tracy Lynn Johnson Prosthetic/Orthotic Supplier 2309 S 17th St Ste 100, Wilmington, NC 28401-8006 2009-08-27
1811128242 Delaware Pedorthics Prosthetic/Orthotic Supplier 5321 Brandywine Pkwy, Wilmington, DE 19803-1471 2009-08-03
1851448419 Floyds Braces & Limbs Prosthetic/Orthotic Supplier 1880 S 17th St, Wilmington, NC 28401-6444 2007-01-05
1780646653 Country Cobbler, Ltd. Prosthetic/Orthotic Supplier 3501 Oleander Dr, Suite 11, Wilmington, NC 28403-0824 2006-04-05
1669472692 Lawall Prosthetic/orthotics, Inc. Prosthetic/Orthotic Supplier 1822 Augustine Cut Off, Wilmington, DE 19803-4405 2005-08-01
1710344304 Coastal Carolina Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 2016-01-27
1518343482 Balance Prosthetics and Orthotics Inc Prosthetic/Orthotic Supplier 2604 Kirkwood Hwy, Unit C, Wilmington, DE 19805-4910 2015-08-03
Find all providers in WILMINGTON

Competitor

Search similar providers

City WILMINGTON
Zip Code 28403

Improve Information

Please comment or provide details below to improve the information on GENESIS DIABETIC SHOES & MEDICAL SUPPLIES.

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.

Trending Searches