AXIS PROSTHETICS AND ORTHOTICS, INC (NPI# 1932230828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932230828 |
| Entity Type | Organization |
| Organization Name | AXIS PROSTHETICS AND ORTHOTICS, INC |
| Other Organization Name | ATLANTIC PROSTHETIC SERVICES |
| Practice Address |
1142 Shipyard Blvd Wilmington NC 28412-6439 |
| Practice Telephone | 9103500067 |
| Practice Fax Number | 9103500065 |
| Mailing Telephone | 9103500067 |
| Mailing Fax Number | 9103500065 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | JEFF MCDONALD (OWNER) |
| Authorized Official Telephone | 9103500067 |
| 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 |
|---|---|---|---|
| NC | 7704938 | 05 | |
| NC | BCBS | 046M8 | 01 |
| NC | 7703733 | 05 |
| Other Name | Type Code |
|---|---|
| Atlantic Prosthetic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104028273 | Axis Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 603 Jefferson St, Whiteville, NC 28472-3707 | 2007-06-01 |
| Street Address |
1142 SHIPYARD BLVD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261734 | Jeffrey Layne Mcdonald | Specialist | 1142 Shipyard Blvd, Wilmington, NC 28412-6439 | 2005-11-08 |
| 1285949875 | Michelle L Smith | Orthotic Fitter | 1142 Shipyard Blvd, Wilmington, NC 28412-6439 | 2010-08-09 |
| 1679778591 | Robert Edward Collins Jr. | Orthotist | 1142 Shipyard Blvd, Wilmington, NC 28412-6439 | 2007-06-20 |
| 1952432858 | Tiffany Jamerson | Specialist | 1142 Shipyard Blvd, Wilmington, NC 28412-6439 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1316585789 | Orthologix, LLC | Prosthetic/Orthotic Supplier | 2700 Silverside Rd Ste 5a, Wilmington, DE 19810-3724 | 2019-12-17 |
| 1699024489 | Genesis Diabetic Shoes & Medical Supplies | Prosthetic/Orthotic Supplier | 3806 1/2 Park Ave, Wilmington, NC 28403-6756 | 2012-09-07 |
| 1437450293 | Mid Atlantic Prosthetics and Orthotics North | Prosthetic/Orthotic Supplier | 2604 Kirkwood Hwy, Suite C, Wilmington, DE 19805-4910 | 2010-11-10 |
| 1750601944 | Adaptive Technologies, LLC | Prosthetic/Orthotic Supplier | 1960 South 17th Street, Suite 201, Wilmington, NC 28401 | 2010-06-10 |
| 1992938757 | Tracy Lynn Johnson | Prosthetic/Orthotic Supplier | 2309 S 17th St Ste 100, Wilmington, NC 28401-8006 | 2009-08-27 |
| 1811128242 | Delaware Pedorthics | Prosthetic/Orthotic Supplier | 5321 Brandywine Pkwy, Wilmington, DE 19803-1471 | 2009-08-03 |
| 1851448419 | Floyds Braces & Limbs | Prosthetic/Orthotic Supplier | 1880 S 17th St, Wilmington, NC 28401-6444 | 2007-01-05 |
| 1780646653 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 3501 Oleander Dr, Suite 11, Wilmington, NC 28403-0824 | 2006-04-05 |
| 1669472692 | Lawall Prosthetic/orthotics, Inc. | Prosthetic/Orthotic Supplier | 1822 Augustine Cut Off, Wilmington, DE 19803-4405 | 2005-08-01 |
| 1710344304 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 | 2016-01-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on AXIS PROSTHETICS AND ORTHOTICS, INC.
| 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.