ORTHOPEDIC OUTFITTERS OF EASTERN JACKSON COUNTY (NPI# 1861677148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861677148 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC OUTFITTERS OF EASTERN JACKSON COUNTY |
| Practice Address |
19550 E 39th St S Suite 115 Independence MO 64057-2303 |
| Mailing Address |
19550 East 39th Street Suite 115 Independence MO 64057 |
| Practice Telephone | 8163032498 |
| Practice Fax Number | 8163032495 |
| Mailing Telephone | 8163032498 |
| Mailing Fax Number | 8163032495 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | MRS. DONNA DUSENBERG (OWNER) |
| Authorized Official Telephone | 8163032498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
19550 E 39TH ST S SUITE 115 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031909 | Nathan T. Wegner | Specialist | 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 | 2005-05-24 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1154878122 | Long and Associates Pain Therapy Inc | General Practice | 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 | 2016-09-07 |
| 1952755340 | Christina Turner | Nurse Practitioner | 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 | 2016-04-21 |
| 1417301615 | Allyson Marie Williams | Nurse Practitioner | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-04-14 |
| 1962860684 | Melody L Alexander | Nurse Practitioner | 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 | 2016-02-09 |
| 1124492608 | Tracy Giese | Nurse Practitioner | 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 | 2015-11-20 |
| 1356733638 | Carma Elizabeth Ball | Nurse Practitioner | 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 | 2015-02-24 |
| 1508257544 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 | 2015-02-12 |
| 1851706022 | Leslie Peirce | Registered Nurse | 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1649683368 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3411 S Noland Rd, Independence, MO 64055-1319 | 2014-06-10 |
| 1063830461 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 19550 E 39th St S Ste 115, Independence, MO 64057-2329 | 2014-04-02 |
| 1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
| 1346588464 | Be Savvy Beauty Supply | Durable Medical Equipment & Medical Supplies | 3800 S Elizabeth St Ste H, Independence, MO 64057-2652 | 2013-01-24 |
| 1972730737 | Lainey Medical L.L.C. | Durable Medical Equipment & Medical Supplies | 16650 E Us Highway 40, Suite C, Independence, MO 64055-5327 | 2009-06-18 |
| 1538309620 | Gary Nickel, Od, Pa | Durable Medical Equipment & Medical Supplies | 404 N 14th St, Independence, KS 67301-2909 | 2009-03-02 |
| 1518157049 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 17844 E 23rd St S Ste D404, Independence, MO 64057-1840 | 2007-07-31 |
| 1669662631 | Tromar Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 312 West 4th Street, Independence, LA 70443 | 2007-07-26 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on ORTHOPEDIC OUTFITTERS OF EASTERN JACKSON COUNTY.
| 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.