ADVANCED PROSTHETICS AND ORTHOTICS (NPI# 1770884959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770884959 |
| Entity Type | Organization |
| Organization Name | ADVANCED PROSTHETICS AND ORTHOTICS |
| Practice Address |
5602 Waters Ave Savannah GA 31404 |
| Practice Telephone | 9126297374 |
| Practice Fax Number | 9122267644 |
| Mailing Telephone | 9126297374 |
| Mailing Fax Number | 9122267644 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | RUSSELL ZITTRAUER (MEMBER) |
| Authorized Official Telephone | 9126297374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO 61 | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407275852 | Advanced Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 802 Midpoint Dr, O Fallon, MO 63366-5945 | 2014-04-14 |
| 1700973948 | Advanced Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 2851 S Avenue B Ste 8, Yuma, AZ 85364-7726 | 2006-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCED PROSTHETICS AND ORTHOTICS OF THE PACIFIC, INC. | 1580 Makaloa St Ste 910, Honolulu, HI 96814-3220 |
| System for Award Management (SAM) Entities | ADVANCED PROSTHETICS AND ORTHOTICS, LLC | 5602 Waters Ave, Savannah, GA 31404-6296 |
| Street Address |
5602 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083782049 | Gregory Bart Wetherington | Chiropractor | 5602 Waters Ave, B, Savannah, GA 31404-6296 | 2006-11-30 |
| 1699195156 | Wetherington Chiropractic Clinic | Chiropractor | 5602 Waters Ave, Savannah, GA 31404-6296 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| 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 |
|---|---|---|---|---|
| 1972772325 | David M Puckett | Prosthetic/Orthotic Supplier | 5206 Waters Ave, Savannah, GA 31404-6230 | 2008-02-29 |
| 1548281462 | Carole Romig | Prosthetic/Orthotic Supplier | 7074 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2006-07-23 |
| 1235194341 | Positive Image Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 5202 Waters Avenue, Savannah, GA 31404 | 2006-04-20 |
| 1093700205 | Nightingale Ers Inc | Prosthetic/Orthotic Supplier | 9100 White Bluff Rd, Ste 301, Savannah, GA 31406-4668 | 2005-09-14 |
| 1932742079 | Ryan Fann Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3840 Waters Ave, Savannah, GA 31404-6264 | 2019-10-22 |
| 1760848691 | Active Medical and Mobility Inc. | Prosthetic/Orthotic Supplier | 409 Main St, Savannah, TN 38372-2062 | 2016-01-07 |
| 1184873390 | Savannah Vascular Institute, LLC | Prosthetic/Orthotic Supplier | 4750 Waters Avenue, Suite 500, Savannah, GA 31404-6261 | 2008-09-11 |
| 1649446196 | Sjc Health Services, Inc. | Prosthetic/Orthotic Supplier | 225 Candler Dr, Suite 102, Savannah, GA 31405-6023 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1447860150 | Shadae Renee Medical Wigs | Prosthetic/Orthotic Supplier | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 | 2020-08-06 |
| 1114535432 | Beauty Zone2 Medical Wigs | Prosthetic/Orthotic Supplier | 252 Keys Ferry St, Mcdonough, GA 30253-3342 | 2020-07-22 |
| 1619594389 | Legally Laced | Prosthetic/Orthotic Supplier | 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 | 2020-06-29 |
| 1093332009 | Jazzy Wigs, Rx | Prosthetic/Orthotic Supplier | 59 Urey Emerson Dr, Richland, GA 31825-6636 | 2020-06-25 |
| 1174147938 | Salon Asya Mignon LLC | Prosthetic/Orthotic Supplier | 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 | 2020-06-07 |
| 1023630928 | Michelles Beauty Bar | Prosthetic/Orthotic Supplier | 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 | 2020-05-13 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1518503432 | Regina Murff-love | Prosthetic/Orthotic Supplier | 341 Indus Ln, Lawrenceville, GA 30044-3835 | 2019-11-26 |
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 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.