TAMPA BAY ORTHOPAEDIC DESIGNS, INC. (NPI# 1861685083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861685083 |
| Entity Type | Organization |
| Organization Name | TAMPA BAY ORTHOPAEDIC DESIGNS, INC. |
| Practice Address |
667 S Kings Ave Brandon FL 33511-4885 |
| Mailing Address |
667 S Kings Ave Brandon FL 33511-6048 |
| Practice Telephone | 8136619162 |
| Practice Fax Number | 8136629347 |
| Mailing Telephone | 8136619162 |
| Mailing Fax Number | 8136629347 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | OLAF MICKLE HOLM (PRESIDENT) |
| Authorized Official Telephone | 8136619162 |
| Authorized Official Credential | PROSTHETIST/ORTH |
| Is Organization Subpart | Y |
| Parent Organization Name | TAMPA BAY ORTHOPAEDIC DESIGNS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | POR124 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS OF FL | M2713 | 01 |
| FL | NPI | 1861685083 | 01 |
| Street Address |
667 S KINGS AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1114546462 | Nehemiah Levi Brown | Prosthetic/Orthotic Supplier | 111 Sara Fox Dr, Brandon, MS 39047-5527 | 2020-04-15 |
| 1740565860 | A New You Pink Boutique | Prosthetic/Orthotic Supplier | 106 W Robertson St, Brandon, FL 33511-5112 | 2011-10-20 |
| 1982884029 | Southern Brace & Billing LLC | Prosthetic/Orthotic Supplier | 1700 W Government St, Building A Suite C, Brandon, MS 39042-2417 | 2007-11-06 |
| 1568555126 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1119 Professional Park Dr, Brandon, FL 33511-4887 | 2006-10-02 |
| 1316047350 | Lifeshapes Boutique Inc | Prosthetic/Orthotic Supplier | 518 Lakewood Dr, Brandon, FL 33510-4037 | 2006-09-22 |
| 1972510501 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 620 Oakfield Drive, Brandon, FL 33511 | 2006-08-03 |
| 1740801695 | Unified Prosthetics and Orthotics, LLC. | Prosthetic/Orthotic Supplier | 111 Sara Fox Dr, Brandon, MS 39047-5527 | 2020-05-01 |
| 1225191729 | Musculoskeletal Institute Chartered | Prosthetic/Orthotic Supplier | 560 S Lakewood Dr Ste 101, Brandon, FL 33511 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| 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.