MR. MICHAEL RAY HARTLEY (NPI# 1033616297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033616297 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL RAY HARTLEY |
| Credential | CPO |
| Practice Address |
245 S Parkside Dr Colorado Springs CO 80910-3131 |
| Practice Telephone | 7195209700 |
| Practice Fax Number | 7195200218 |
| Mailing Telephone | 7195209700 |
| Mailing Fax Number | 7195200218 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 2881 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 224P00000X | Prosthetist | 2881 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457899403 | Michael Hartley | Registered Nurse | 100 Magnolia Square Ct, Aberdeen, NC 28315-2225 | 2017-02-09 |
| 1700995909 | Michael Terry Hartley | Social Worker | 1970 E 17th St Ste 202, Idaho Falls, ID 83404-8048 | 2006-08-30 |
| 1043430978 | Michael Clifford Hartley | Dentist | 1305 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2007-04-25 |
| 1700960515 | Michael P Hartley | Internal Medicine | 100 Hospital Ln, Suite 100, Danville, IN 46122-1989 | 2006-10-25 |
| 1407875032 | Michael Hartley | Surgery | 1109 Burleyson Rd, Suite 202, Dalton, GA 30720-3094 | 2006-07-18 |
| Street Address |
245 S PARKSIDE DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477576361 | Abilities Unlimited, Inc. | Prosthetic/Orthotic Supplier | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2006-07-25 |
| 1386131530 | William Beiswenger | Orthotist | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2018-04-13 |
| 1477040681 | William Teague | Prosthetist | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1649891805 | Melissa Stockwell | Prosthetist | 384 E Garden of The Gods Rd Ste 140, Colorado Springs, CO 80907-4243 | 2020-04-29 |
| 1477040681 | William Teague | Prosthetist | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700314036 | Sunee Kim Watts | Prosthetist | 7400 E Hampden Ave Unit C-5, Denver, CO 80231-4861 | 2017-05-31 |
| 1588813315 | Chad Benton Kincaid | Prosthetist | 1380 Monument Ct, Fruita, CO 81521-3053 | 2008-09-17 |
| 1326034620 | Joseph L Johnson | Prosthetist | 561 E Garden Dr, Ste H, Windsor, CO 80550-3148 | 2005-09-22 |
| 1104425008 | Pawel Brozka | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-21 |
| 1386243459 | Jordan Prindle | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-20 |
| 1144829219 | Todd Bush | Prosthetist | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2020-10-20 |
| 1245838523 | Prosthetic Care Clinic LLC | Prosthetist | 6372 Kendall St, Arvada, CO 80003-5045 | 2020-10-09 |
| 1841859212 | Jason Paul Griffin | Prosthetist | 3955 E Exposition Ave Ste 102, Denver, CO 80209-5031 | 2019-06-10 |
| 1285121913 | Dennis Luse | Prosthetist | 3955 E. Exposition Ave., Suite #102, Denver, CO 80209 | 2018-04-18 |
| 1902339617 | Shannon Keagon Yeager | Prosthetist | 2470 Patterson Rd Ste 9, Grand Junction, CO 81505-1028 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
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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.