SAMUELS MEDICAL LLC (NPI# 1902104490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902104490 |
| Entity Type | Organization |
| Organization Name | SAMUELS MEDICAL LLC |
| Practice Address |
14516 N Quiet Rain Dr Oro Valley AZ 85755-4774 |
| Practice Telephone | 5209913329 |
| Practice Fax Number | 5203825928 |
| Mailing Telephone | 5209913329 |
| Mailing Fax Number | 5203825928 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | RICHARD SAMUELS (OWNER) |
| Authorized Official Telephone | 5209913329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
14516 N QUIET RAIN DR |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85755-4774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
| 1033442967 | Terri Farmer PC | Nurse Practitioner | 12450 N. Rancho Vistoso Blvd, Suite 100, Oro Valley, AZ 85755 | 2009-09-10 |
| 1902036338 | David Lee Chaffee Jr. | Dentist | 1880 E Tangerine Rd, Suite 190, Oro Valley, AZ 85755 | 2009-07-20 |
| 1043459738 | Tangerine Dental Group, LLP | Dentist | 1880 East Tangerine Road, Suite 190, Oro Valley, AZ 85755 | 2009-02-19 |
| 1982819736 | Kirsten Pennartz | Physical Therapist | 12460 N Rancho Vistoso Blvd, 140, Oro Valley, AZ 85755 | 2007-05-14 |
| 1346453339 | Michael William Lang | Dentist | 1171 E. Rancho Vistoso Blvd, Suite 157, Oro Valley, AZ 85755 | 2007-05-07 |
| 1871629758 | Phyllis Huttenhoff Menard | Marriage & Family Therapist | 2274 E Montrose Cyn Dr, Tucson, AZ 85755 | 2007-02-26 |
| 1639236581 | Athlon Physical Therapy, LLC | Physical Therapist | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | 2007-01-02 |
| Find all providers in zip 85755 | ||||
| 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 |
|---|---|---|---|---|
| 1326178286 | Footomaki Oro Valley LLC | Prosthetic/Orthotic Supplier | 7705 N Oracle Rd, #125, Oro Valley, AZ 85704-6562 | 2007-03-07 |
| 1396804118 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 12162 N Rancho Vistoso Blvd Ste 110, Oro Valley, AZ 85755-1898 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
| 1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85755 |
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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.