ADVANCED TECHNOLOGY OF KENTUCKY INC. (NPI# 1912909086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912909086 |
| Entity Type | Organization |
| Organization Name | ADVANCED TECHNOLOGY OF KENTUCKY INC. |
| Practice Address |
7570 Us Hwy 42 Florence KY 41042-2324 |
| Practice Telephone | 8595784822 |
| Practice Fax Number | 8595784828 |
| Mailing Telephone | 8595784822 |
| Mailing Fax Number | 8595784828 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | MRS. EMILY A BLACKWELDER (PRESIDENT) |
| Authorized Official Telephone | 8595784822 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | BL00006890 | KY | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | HMEL11172 | OH | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000031913 | 01 |
| KY | 90990342 | 05 | |
| OH | 0158074 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706415 | Advanced Technology of Kentucky Inc. | Durable Medical Equipment & Medical Supplies | 233 Thomas More Pkwy, Crestview Hills, KY 41017-3423 | 2019-05-23 |
| Street Address |
7570 US HWY 42 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1124631056 | Dynesha Thomas | Prosthetic/Orthotic Supplier | 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 | 2020-08-29 |
| 1285094235 | Mcleod Regional Medical Center of The Pee Dee, Inc. | Prosthetic/Orthotic Supplier | 501 East Cheves Street, Suite B, Florence, SC 29506-2617 | 2016-03-03 |
| 1396851754 | Synergy Medical Systems, Inc. | Prosthetic/Orthotic Supplier | 1245 Rhododendron Dr, Florence, OR 97439-0045 | 2006-08-21 |
| 1760404271 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-07-24 |
| 1295764488 | Ability Brace & Limb, Inc | Prosthetic/Orthotic Supplier | 168 Ana Dr, Suite C, Florence, AL 35630-1761 | 2006-07-01 |
| 1033161773 | Palmetto Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 451 W Cheves St, Florence, SC 29501-4446 | 2006-05-17 |
| 1003864257 | Advantage O & P | Prosthetic/Orthotic Supplier | 2295 S Irby St, Florence, SC 29505-3424 | 2006-05-04 |
| 1184954919 | Tracy D. Adams Et Al Ptr | Prosthetic/Orthotic Supplier | 1905 Florence Blvd, Suite F, Florence, AL 35630-2729 | 2009-12-29 |
| 1255401352 | Pee Dee Optical | Prosthetic/Orthotic Supplier | 367 West Evans Street, Florence, SC 29501 | 2006-11-08 |
| 1437237500 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-11-02 |
| Find all providers in FLORENCE | ||||
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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.