INNOVATIVE PROTHESTICS AND RESEARCH, LLC (NPI# 1962022822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962022822 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PROTHESTICS AND RESEARCH, LLC |
| Practice Address |
229 Nw 9th St Ste 104 Oklahoma City OK 73102-2619 |
| Mailing Address |
15224 Se 73rd St Choctaw OK 73020-5009 |
| Practice Telephone | 4057403129 |
| Mailing Telephone | 4057403129 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | MRS. LINDSAY ANN LA FUENTE (OWNER) |
| Authorized Official Telephone | 4057403129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
229 NW 9TH ST STE 104 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299376 | Lindsay Ann Lafuente | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| 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 |
|---|---|---|---|---|
| 1619515541 | Lamoor Beauty Supply | Prosthetic/Orthotic Supplier | 2214 N Martin Luther King Ave, Oklahoma City, OK 73111-2404 | 2019-12-10 |
| 1598258378 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 5601 Nw 72nd Street, Suite 257, Oklahoma City, OK 73132-5920 | 2018-06-07 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1881937977 | Celerity Prosthetics, LLC | Prosthetic/Orthotic Supplier | 8625 S Walker Ave, Oklahoma City, OK 73139-9462 | 2013-03-27 |
| 1427376193 | Genuine Care Rehabilitation Service Inc. | Prosthetic/Orthotic Supplier | 7510 Broadway Ext, Suite 204, Oklahoma City, OK 73116-9031 | 2010-05-05 |
| 1942490784 | Hi Fashion Wigs LLC | Prosthetic/Orthotic Supplier | 1133 North May Ave. Ss, Oklahoma City, OK 73107-5335 | 2007-07-27 |
| 1164551479 | Hair2wear, LLC | Prosthetic/Orthotic Supplier | 11624 Willow Way, Oklahoma City, OK 73162-2046 | 2007-03-04 |
| 1740366210 | Revelation Enterprises Inc | Prosthetic/Orthotic Supplier | 2122 W Reno Ave, Oklahoma City, OK 73107-7028 | 2006-10-27 |
| 1124075833 | Scott Sabolich Prosthetic & Research LLC | Prosthetic/Orthotic Supplier | 10201 Broadway Ext, Oklahoma City, OK 73114-6217 | 2006-05-28 |
| 1881672707 | Compton Shoe Inc | Prosthetic/Orthotic Supplier | 3703 Nw 50th St, Oklahoma City, OK 73112-2553 | 2006-01-03 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
Please comment or provide details below to improve the information on INNOVATIVE PROTHESTICS AND RESEARCH, LLC.
| 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.