AMPUTEE SERVICE CENTER, LLC (NPI# 1851382295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851382295 |
| Entity Type | Organization |
| Organization Name | AMPUTEE SERVICE CENTER, LLC |
| Other Organization Name | TRANSCEND ORTHOTICS & PROSTHETICS |
| Practice Address |
805 W Michigan Ave Jackson MI 49202 |
| Mailing Address |
17530 Dugdale Dr South Bend IN 46635-1583 |
| Practice Telephone | 5177841142 |
| Practice Fax Number | 8772720290 |
| Mailing Telephone | 5742333352 |
| Mailing Fax Number | 5742881514 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | JEFFREY LADERER (CFO) |
| Authorized Official Telephone | 5742333352 |
| 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 |
|---|---|---|---|
| MI | 3263669 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 0C80701 | 01 |
| Other Name | Type Code |
|---|---|
| A-S-C Orthotics & Prosthetics | Doing Business As Name - Organization |
| Transcend Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760493589 | Amputee Service Center, LLC | Prosthetic/Orthotic Supplier | 770 Riverside Ave, Suite 101, Adrian, MI 49221-1476 | 2006-08-10 |
| Street Address |
805 W MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1013563527 | State of Mississippi - University of Mississippi Medical Center | Prosthetic/Orthotic Supplier | 1410 E Woodrow Wilson Ave Ste I, Jackson, MS 39216-5114 | 2019-08-12 |
| 1306340476 | Anderson Brace & Limb Pllc | Prosthetic/Orthotic Supplier | 569 Skyline Dr Ste 201, Jackson, TN 38301-3933 | 2018-03-22 |
| 1134404932 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 2813 N. Highland Avenue, Jackson, TN 38305 | 2011-10-13 |
| 1225196801 | Biomedical Designs Inc. | Prosthetic/Orthotic Supplier | 306 W Washington Ave Ste 105, Jackson, MI 49201-2141 | 2006-12-05 |
| 1992870950 | Jackson Brace and Limb Company | Prosthetic/Orthotic Supplier | 1320 N State St, Jackson, MS 39202-2003 | 2006-11-22 |
| 1184718132 | Mid State Artificial Limb Co, Inc | Prosthetic/Orthotic Supplier | 4455 Medgar Evers Blvd, Jackson, MS 39213-5202 | 2006-10-03 |
| 1134147036 | Joy's Return | Prosthetic/Orthotic Supplier | 10350 Spunn Rd, Jackson, CA 95642-9509 | 2006-07-18 |
| 1083631931 | Orthotic Prosthetic Associates, Inc. | Prosthetic/Orthotic Supplier | 2105 West County Line Road, Suite 9, Jackson, NJ 08527 | 2006-07-16 |
| Find all providers in JACKSON | ||||
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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.