PROSTHETIC-ORTHOTIC ASSOCIATES OF EAST TEXAS, INC. (NPI# 1992934053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992934053 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC-ORTHOTIC ASSOCIATES OF EAST TEXAS, INC. |
| Practice Address |
414 E Loop 281 Suite 20 Longview TX 75605-7930 |
| Practice Telephone | 9032342027 |
| Practice Fax Number | 9035953862 |
| Mailing Telephone | 9032342027 |
| Mailing Fax Number | 9035953862 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |
| Authorized Official Name | BRUCE P. MCCLELLAN (PRESIDENT) |
| Authorized Official Telephone | 9035926574 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | PROSTHETIC-ORTHOTIC ASSOCIATES OF EAST TEXAS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101070 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780624148 | Prosthetic-orthotic Associates of East Texas, Inc. | Prosthetic/Orthotic Supplier | 1122 E Front St, Tyler, TX 75702-8414 | 2006-06-07 |
| Street Address |
414 E LOOP 281 SUITE 20 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376752865 | Robberson Hearing Dba Hear Tech Hearing Center | Hearing Instrument Specialist | 414 E Loop 281, Suite #4, Longview, TX 75605-7930 | 2007-05-21 |
| 1811511132 | Jaquaila Shepard | Registered Nurse | 414 E Loop 281, Longview, TX 75605-7930 | 2020-06-02 |
| 1881082477 | Tina Engledow IIi | Counselor | 414 E Loop 281, Longview, TX 75605-7930 | 2015-01-05 |
| 1144590027 | East Texas Rehabilitation, LLC | Home Health | 414 E Loop 281, Suite 5, Longview, TX 75605-7930 | 2012-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1326290248 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 1338 Commerce Ave Ste D, Longview, WA 98632-3743 | 2008-10-22 |
| 1184822793 | Steven G Mccullough and David W Holt Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 422 N Green St, Longview, TX 75601-6458 | 2007-07-05 |
| 1447344296 | Ava Inc. | Prosthetic/Orthotic Supplier | 1113 Vandercook Way, Suite 120, Longview, WA 98632-4024 | 2006-10-03 |
| 1750323713 | Edgar De La Fuente | Prosthetic/Orthotic Supplier | 719 N. Second Street, Longview, TX 75601-5316 | 2006-06-12 |
| 1740720366 | Hanger Clinic | Prosthetic/Orthotic Supplier | 1516 Hudson St, Suite 105, Longview, WA 98632-3083 | 2017-03-01 |
| 1629379490 | Steven Glenn Mccullough | Prosthetic/Orthotic Supplier | 422 N Green St, Longview, TX 75601-6458 | 2010-11-10 |
| 1508048984 | East Texas Prosthetic-orthotic Care | Prosthetic/Orthotic Supplier | 812 N 4th St, Longview, TX 75601-5413 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| 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.