ACCESS PROSTHETICS LLC (NPI# 1720397490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720397490 |
| Entity Type | Organization |
| Organization Name | ACCESS PROSTHETICS LLC |
| Practice Address |
2020 Riverside Dr 3rd Floor Green Bay WI 54301-2300 |
| Practice Telephone | 9204711451 |
| Practice Fax Number | 9205692939 |
| Mailing Telephone | 9204711451 |
| Mailing Fax Number | 9205692939 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | MR. BRENTON M WATZKA (OWNER) |
| Authorized Official Telephone | 9206800271 |
| 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 |
2020 RIVERSIDE DR 3RD FLOOR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273400 | Thomas J Smith | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1821417692 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 2020 Riverside Dr, Green Bay, WI 54301-2389 | 2014-04-09 |
| 1558612028 | Neuropsychology of Green Bay Ltd | Clinical Neuropsychologist | 2020 Riverside Dr, Suite 102, Green Bay, WI 54301-2300 | 2012-09-25 |
| 1144224619 | Steven E Neu | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-06-13 |
| 1447253299 | Anupama Verma | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1871596627 | David J Palubiak | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1841293800 | Bay Area Nephrology S.c. | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1508869587 | John M Lawton | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1356441950 | Vagabond Shoes, Inc. | Prosthetic/Orthotic Supplier | 635 Bay Park Sq, Green Bay, WI 54304-5101 | 2006-09-23 |
| 1962409482 | Wisconsin Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1845 Velp Ave, Ste A, Green Bay, WI 54303-6594 | 2005-06-30 |
| 1962893842 | Align Clinic, LLC | Prosthetic/Orthotic Supplier | 445 Cardinal Ln Ste 110, Green Bay, WI 54313-9587 | 2015-02-12 |
| 1477892412 | Stacey M Nellen-kolze | Prosthetic/Orthotic Supplier | 2031 S Webster Ave, Suite B, Green Bay, WI 54301-2257 | 2013-02-12 |
| 1013289743 | New Hair, LLC | Prosthetic/Orthotic Supplier | 2031 S Webster Ave, Suite B, Green Bay, WI 54301-2257 | 2012-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932604 | Cassie Mae Mathis | Prosthetic/Orthotic Supplier | W1643 Greiner Rd, Freedom, WI 54130-7943 | 2020-11-03 |
| 1649648973 | Nordstrom | Prosthetic/Orthotic Supplier | 2424 N Mayfair Rd, Wauwatosa, WI 53226-1410 | 2015-09-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1285908624 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 | 2012-03-02 |
| 1073807475 | Ralph's Shoes | Prosthetic/Orthotic Supplier | 336 Water St, Eau Claire, WI 54703-6132 | 2011-06-02 |
| 1982904769 | Better Balance LLC | Prosthetic/Orthotic Supplier | 2629 E Clairemont Ave, Eau Claire, WI 54701-6726 | 2010-10-27 |
| 1861718744 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 165 W Huron St, Berlin, WI 54923-1590 | 2010-04-16 |
| 1225352172 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 314 N Washington St, Thorp, WI 54771-9531 | 2010-03-22 |
| 1376866954 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 831 Dallas St, Chetek, WI 54728-5811 | 2010-03-10 |
| 1124356993 | Natural Tresses LLC | Prosthetic/Orthotic Supplier | 2011 N Richmond St, Appleton, WI 54911-2771 | 2009-12-05 |
| Find all providers with the same taxonomy | ||||
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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.