SPRINKLE PROSTHETICS INC. (NPI# 1811952146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811952146 |
Entity Type | Organization |
Organization Name | SPRINKLE PROSTHETICS INC. |
Practice Address |
383 S Pine St Suite A Spartanburg SC 29302-2650 |
Practice Telephone | 8645912242 |
Practice Fax Number | 8645912037 |
Mailing Telephone | 8645912242 |
Mailing Fax Number | 8645912037 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2011-10-10 |
Authorized Official Name | MR. JEFF W SPRINKLE (OWNER PRESIDENT) |
Authorized Official Telephone | 8645912242 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CPO01763 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | DE2685 | 05 |
Street Address |
383 S PINE ST SUITE A |
City | SPARTANBURG |
State | SC |
Zip Code | 29302-2650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376872192 | Jeff Wayne Sprinkle | Orthotic Fitter | 383 S Pine St, A, Spartanburg, SC 29302-2650 | 2009-12-08 |
1073663142 | Katherine Nicholson | Dentist | 383 S Pine St, Suite 3, Spartanburg, SC 29302-2650 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
Find all providers in zip 29302 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] 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 |
---|---|---|---|---|
1376872192 | Jeff Wayne Sprinkle | Orthotic Fitter | 383 S Pine St, A, Spartanburg, SC 29302-2650 | 2009-12-08 |
1306944392 | John M Rogers | Orthotic Fitter | 1000 N Pine St, Suite 19, Spartanburg, SC 29303-3151 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730461138 | Chad N Mullins | Orthotic Fitter | 513 Chester Ave, Great Falls, SC 29055-1219 | 2011-09-13 |
1164723151 | Rebecca Randall | Orthotic Fitter | 7 Maverick St, Charleston, SC 29403-4114 | 2010-11-08 |
1922247253 | Matrix Rehabilitation Solutions, LLC | Orthotic Fitter | 108 Riverfront Ln., Simpsonville, SC 29681 | 2009-02-10 |
1982857272 | Bob Jeffrey Hampton | Orthotic Fitter | 31 Ruby Bay Lane, Simpsonville, SC 29681 | 2008-10-30 |
1518142215 | Mark Root | Orthotic Fitter | 5950 Hampton Leas Ln, Columbia, SC 29209-1900 | 2008-01-01 |
1942216262 | Katherine E Newton | Orthotic Fitter | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2006-07-31 |
1164489191 | O Boyd Gardo Jr. | Orthotic Fitter | 803 N Fant St, Anderson, SC 29621-5707 | 2006-04-26 |
1003809476 | John Joseph Kasik Sr. | Orthotic Fitter | 329 Hunters Blind Dr, Columbia, SC 29212-1651 | 2005-08-31 |
1346886496 | James Edward Newton | Orthotic Fitter | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2019-11-25 |
1477860161 | Steven Edward Hamontree | Orthotic Fitter | 1009 Grove Rd, Suite B-1, Greenville, SC 29605-4600 | 2010-09-02 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29302 |
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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.