MUNGER PROSTHETICS AND ORTHOTICS, INC. (NPI# 1942551429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942551429 |
| Entity Type | Organization |
| Organization Name | MUNGER PROSTHETICS AND ORTHOTICS, INC. |
| Practice Address |
3455 Rewak Dr Ste 101 Fairbanks AK 99709-5024 |
| Mailing Address |
5701 Lake Otis Pkwy Ste 400 Anchorage AK 99507-1778 |
| Practice Telephone | 9077439991 |
| Practice Fax Number | 9077439992 |
| Mailing Telephone | 9077439991 |
| Mailing Fax Number | 9077439992 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MR. TREVOR D MUNGER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9077439991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO01700 | DE | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821346065 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1700 E Bogard Rd, #104 Building B, Wasilla, AK 99654-6563 | 2012-08-20 |
| Street Address |
3455 REWAK DR STE 101 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| 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 |
|---|---|---|---|---|
| 1295930600 | Farthest North Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 3520 Industrial Ave, Fairbanks, AK 99701-7376 | 2007-06-15 |
| 1689920142 | Alchemy Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1405 Kellum St, Suite 201, Fairbanks, AK 99701-4189 | 2012-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376711549 | Southeast Alaska Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 5193 Borch St, Ketchikan, AK 99901-9036 | 2008-02-11 |
| 1235144619 | Munger Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 5701 Lake Otis Pkwy Ste 400, Anchorage, AK 99507-1778 | 2006-07-31 |
| 1487652335 | Alaska Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 2028 E Northern Lights Blvd, Anchorage, AK 99508-4101 | 2005-07-13 |
| 1134461957 | Northern Orthopedics Inc | Prosthetic/Orthotic Supplier | 44604 Sterling Hwy, Unit A, Soldotna, AK 99669-7937 | 2013-03-19 |
| 1821346065 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1700 E Bogard Rd, #104 Building B, Wasilla, AK 99654-6563 | 2012-08-20 |
| 1841464997 | Dr's Order,inc. | Prosthetic/Orthotic Supplier | 515 W Fireweed Ln, Anchorage, AK 99503-1927 | 2008-04-19 |
| 1497932354 | Advanced Biomechanics Inc | Prosthetic/Orthotic Supplier | 215 N Fireweed St, Soldotna, AK 99669-7540 | 2008-01-23 |
| 1346422466 | Alchemy Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 12201 Industry Way, Suite D1, Anchorage, AK 99515-4316 | 2007-11-30 |
| 1801002639 | Frontier Community Services | Prosthetic/Orthotic Supplier | 43335 Kalifornsky Beach Road, Suite 36, Soldotna, AK 99669-8280 | 2007-05-16 |
| 1528199254 | Sitka Physical Therapy | Prosthetic/Orthotic Supplier | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-07 |
| 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.