ROBERTS SHOES, INC (NPI# 1942435490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942435490 |
| Entity Type | Organization |
| Organization Name | ROBERTS SHOES, INC |
| Practice Address |
740 E Lake St Minneapolis MN 55407-1547 |
| Practice Telephone | 6128237229 |
| Practice Fax Number | 6128236750 |
| Mailing Telephone | 6128237229 |
| Mailing Fax Number | 6128236750 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MR. MARK S SIMON (PRESIDENT) |
| Authorized Official Telephone | 6128237229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
740 E LAKE ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
|---|---|---|---|---|
| 1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
| 1063517241 | Metropolitan Orthotic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 817 Portland Ave, Minneapolis, MN 55404-1145 | 2006-09-13 |
| 1295798932 | Fairview Health Services | Prosthetic/Orthotic Supplier | 606 24th Ave S Ste 510, Minneapolis, MN 55454-1438 | 2006-04-11 |
| 1871089045 | Nedia Group LLC | Prosthetic/Orthotic Supplier | 2756 Douglas Dr N, Minneapolis, MN 55422-2402 | 2018-07-10 |
| 1154721785 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-09-02 |
| 1700208337 | Tillges Certified Orthotic Prosthetic, Inc. | Prosthetic/Orthotic Supplier | 817 Portland Ave, Minneapolis, MN 55404-1145 | 2014-01-16 |
| 1326486242 | Ottobock Medicalcare LLC | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-a, Minneapolis, MN 55447-4873 | 2013-06-13 |
| 1962671719 | Kari Prescott D P M P A | Prosthetic/Orthotic Supplier | 825 Nicollet Mall, Suite 441, Minneapolis, MN 55305-2611 | 2008-02-26 |
| 1902985906 | The Winkley Company | Prosthetic/Orthotic Supplier | 910 E 26th St, Suite 323, Minneapolis, MN 55404-4526 | 2006-11-02 |
| 1780789875 | Metropolitan Orthotic Laboratory, Inc | Prosthetic/Orthotic Supplier | 817 Portland Ave, Minneapolis, MN 55404-1145 | 2006-09-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.