NORTHERN KENTUCKY FOOT SPECIALISTS, PSC (NPI# 1760404271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760404271 |
| Entity Type | Organization |
| Organization Name | NORTHERN KENTUCKY FOOT SPECIALISTS, PSC |
| Practice Address |
1125 Boone Aire Rd Florence KY 41042-1201 |
| Mailing Address |
Po Box 389 Burlington KY 41005-0389 |
| Practice Telephone | 8593714020 |
| Practice Fax Number | 8597467464 |
| Mailing Telephone | 8597467461 |
| Mailing Fax Number | 8597467464 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | WILLIAM M NIELSON (PRESIDENT) |
| Authorized Official Telephone | 8597467461 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90011651 | 05 | |
| KY | 90160599 | 05 | |
| KY | 90040080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529416 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 4327 Winston Ave, Covington, KY 41015-1739 | 2006-10-09 |
| 1437237500 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-11-02 |
| 1295811008 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-10-27 |
| 1225114044 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-27 |
| 1073695599 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-10-20 |
| 1609958123 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-20 |
| 1518049030 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 4327 Winston Ave, Covington, KY 41015-1739 | 2006-10-20 |
| 1346337599 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| 1366539512 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| Street Address |
1125 BOONE AIRE RD |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073695599 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1124631056 | Dynesha Thomas | Prosthetic/Orthotic Supplier | 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 | 2020-08-29 |
| 1285094235 | Mcleod Regional Medical Center of The Pee Dee, Inc. | Prosthetic/Orthotic Supplier | 501 East Cheves Street, Suite B, Florence, SC 29506-2617 | 2016-03-03 |
| 1396851754 | Synergy Medical Systems, Inc. | Prosthetic/Orthotic Supplier | 1245 Rhododendron Dr, Florence, OR 97439-0045 | 2006-08-21 |
| 1295764488 | Ability Brace & Limb, Inc | Prosthetic/Orthotic Supplier | 168 Ana Dr, Suite C, Florence, AL 35630-1761 | 2006-07-01 |
| 1033161773 | Palmetto Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 451 W Cheves St, Florence, SC 29501-4446 | 2006-05-17 |
| 1003864257 | Advantage O & P | Prosthetic/Orthotic Supplier | 2295 S Irby St, Florence, SC 29505-3424 | 2006-05-04 |
| 1184954919 | Tracy D. Adams Et Al Ptr | Prosthetic/Orthotic Supplier | 1905 Florence Blvd, Suite F, Florence, AL 35630-2729 | 2009-12-29 |
| 1255401352 | Pee Dee Optical | Prosthetic/Orthotic Supplier | 367 West Evans Street, Florence, SC 29501 | 2006-11-08 |
| 1437237500 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
| 1083066468 | I Management LLC | Prosthetic/Orthotic Supplier | 1034 S Jackson St, Louisville, KY 40203-3422 | 2016-07-08 |
| 1679934111 | Pakmed LLC | Prosthetic/Orthotic Supplier | 2527 Nelson Miller Pkwy, Louisville, KY 40223-3161 | 2016-03-11 |
| 1013385558 | Kenney Orthopedics of Paducah, LLC | Prosthetic/Orthotic Supplier | 224 Berger Rd, Paducah, KY 42003-4522 | 2015-09-14 |
| 1750790689 | Center for Orthotic and Prosthetic Care of Kentucky LLC | Prosthetic/Orthotic Supplier | 4975 Alben Barkley Dr, Suite 2, Paducah, KY 42001-6722 | 2014-08-05 |
| 1780018085 | Beauty Personified LLC | Prosthetic/Orthotic Supplier | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2013-08-22 |
| 1578995155 | Motc - Louisville LLC | Prosthetic/Orthotic Supplier | 10285 Champion Farms Dr, Louisville, KY 40241-6150 | 2013-08-06 |
| 1598012262 | Premier Orthotics Inc. | Prosthetic/Orthotic Supplier | 13329 Prospect Glen Way, Prospect, KY 40059-8184 | 2012-08-13 |
| 1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
| 1245534585 | Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | 1005 West Columbia St, Suite B, Somerset, KY 42503 | 2010-12-30 |
| 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.