WESTERN CAROLINA O & P (NPI# 1710221197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710221197 |
| Entity Type | Organization |
| Organization Name | WESTERN CAROLINA O & P |
| Practice Address |
107 E Walker St East Flat Rock NC 28726-2235 |
| Mailing Address |
107 East Walker Street East Flat Rock NC 28726 |
| Practice Telephone | 8285959371 |
| Practice Fax Number | 8285959373 |
| Mailing Telephone | 8285959371 |
| Mailing Fax Number | 8285959373 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | MRS. KELLY WIGGEN (PRACTICE MANAGER) |
| Authorized Official Telephone | 8285959371 |
| Authorized Official Credential | COF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7200591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780135269 | Western Carolina O & P | Durable Medical Equipment & Medical Supplies | 366 S Pine St, Spartanburg, SC 29302-2624 | 2016-10-19 |
| Street Address |
107 E WALKER ST |
| City | EAST FLAT ROCK |
| State | NC |
| Zip Code | 28726-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447276639 | Footlogic, Inc. | Specialist | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2006-07-14 |
| 1770130551 | Level Four Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174827398 | Kelly Roberts Wiggen | Orthotic Fitter | 107 East Walker Street, East Flat Rock, NC 28726 | 2011-01-03 |
| 1801028378 | Michael Weston Huskey | Orthotist | 107 East Walker St., East Flat Rock, NC 28726 | 2009-08-18 |
| 1821266230 | Brian Lynn Wiggen II II | Orthotist | 107 East Walker St, East Flat Rock, NC 28726 | 2008-02-19 |
| 1013543446 | Tia Nicole Rudisill | Home Health Aide | 82 Johnnie Washington Dr, East Flat Rock, NC 28726-0280 | 2020-03-17 |
| 1740310051 | Vocational Solutions of Henderson County | Day Training, Developmentally Disabled Services | 2110 Spartanburg Hwy, East Flat Rock, NC 28726-2135 | 2007-03-06 |
| 1518331883 | Michael James Tui II | Counselor | 128 Upward Acres St, East Flat Rock, NC 28726-2234 | 2015-11-24 |
| 1871125088 | Amy Bracken, Pllc | Occupational Therapist | 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 | 2020-02-05 |
| 1871873422 | Family Preservation Services of North Carolina, LLC Flat Rock Middle | Community/Behavioral Health | 191 Preston Ln, East Flat Rock, NC 28726-2865 | 2011-08-26 |
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
| 1093327736 | Mcduffie & Associates, Inc | Durable Medical Equipment & Medical Supplies | 203 Church Hill Ct, New Bern, NC 28562-4870 | 2020-08-22 |
| 1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
| 1366067035 | Carolina Hair Loss & Prosthetics | Durable Medical Equipment & Medical Supplies | 1903 N Pine St, Lumberton, NC 28358-3969 | 2020-06-09 |
| 1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
| 1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
| 1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
| City | EAST FLAT ROCK |
| Zip Code | 28726 |
Please comment or provide details below to improve the information on WESTERN CAROLINA O & P.
| 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.