NORTHERN ORTHOTIC AND PROSTHETIC CENTER (NPI# 1962579482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962579482 |
| Entity Type | Organization |
| Organization Name | NORTHERN ORTHOTIC AND PROSTHETIC CENTER |
| Practice Address |
925 East Superior St Ste 102 Duluth MN 55802 |
| Practice Telephone | 2182496250 |
| Practice Fax Number | 2182496255 |
| Mailing Telephone | 2182496250 |
| Mailing Fax Number | 2182496255 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | GREGORY JOHN FRANCISCO (CEO) |
| Authorized Official Telephone | 2182496250 |
| Authorized Official Credential | BS CO |
| 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 |
|---|---|---|---|
| MICHIGAN MEDICAL MEDICAID | 854766680 | 01 | |
| HEALTH PARTNERS MN | 99369 | 01 | |
| MN | BCBS OF MN | 121T8NO | 01 |
| MN | MEDICA | 8200357 | 01 |
| PREFERRED ONE MN | 1041273 | 01 | |
| UCARE MINNESOTA | 165374 | 01 | |
| WISCONSIN MEDICAID EDS | 41788600 | 01 | |
| MN | 064985600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417364100 | Northern Orthotic and Prosthetic Center | Durable Medical Equipment & Medical Supplies | 1279 S Pokegama Ave, Grand Rapids, MN 55744-4208 | 2014-07-15 |
| Street Address |
925 EAST SUPERIOR ST STE 102 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| 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 |
|---|---|---|---|---|
| 1861905325 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3235 Satellite Blvd Ste 150, Duluth, GA 30096-2382 | 2017-11-07 |
| 1073065298 | Language of Hair | Prosthetic/Orthotic Supplier | 1615 London Rd, Duluth, MN 55812-1620 | 2016-11-04 |
| 1336542224 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6630 Mcginnis Ferry Rd Ste A, Duluth, GA 30097-1563 | 2014-10-06 |
| 1053626416 | S2 Medical Supply, LLC | Prosthetic/Orthotic Supplier | 2780 Peachtree Industrial Blvd Ste C, Duluth, GA 30097-7910 | 2010-08-10 |
| 1073582003 | Medical Aid Supply House Inc | Prosthetic/Orthotic Supplier | 3547 Peachtree Industrial Blvd, Suite 4, Duluth, GA 30096-1419 | 2006-03-14 |
| 1265412894 | Home Care Oxygen Service Inc | Prosthetic/Orthotic Supplier | 115 N 24th Ave W, Suite A-1, Duluth, MN 55806-1923 | 2006-01-19 |
| 1982607222 | Medical Aid Supply House Inc | Prosthetic/Orthotic Supplier | 3455 Peachtree Industrial Blvd, Ste 980, Duluth, GA 30096-6506 | 2005-05-31 |
| 1083797252 | Midwest Medical Equipment & Supplies, Inc | Prosthetic/Orthotic Supplier | 530 E 2nd St, Duluth, MN 55805-1913 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578648 | Kanika Lanese Baker | Prosthetic/Orthotic Supplier | 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 | 2020-11-05 |
| 1932758067 | David Allen Young | Prosthetic/Orthotic Supplier | 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 | 2019-09-11 |
| 1073080230 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 | 2018-10-25 |
| 1760998165 | Abilitech Medical, Inc. | Prosthetic/Orthotic Supplier | 628 Pine St, Saint Paul, MN 55130-4421 | 2017-12-20 |
| 1003351990 | Arise Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 | 2016-12-30 |
| 1275900664 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 | 2015-09-01 |
| 1326483264 | Prosthetic Specialties LLC | Prosthetic/Orthotic Supplier | 13143 Lake Place Rd, Zimmerman, MN 55398-9567 | 2013-05-06 |
| 1427300706 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 | 2012-10-10 |
| 1033461322 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 300 Catlin St Ste 104, Buffalo, MN 55313-2035 | 2012-10-10 |
| 1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
| 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.