PINNACLE PROSTHETICS, INC. (NPI# 1043323561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043323561 |
| Entity Type | Organization |
| Organization Name | PINNACLE PROSTHETICS, INC. |
| Practice Address |
225 E Calhoun St Bruce MS 38915-9341 |
| Practice Telephone | 6629832500 |
| Practice Fax Number | 6629832500 |
| Mailing Telephone | 6629832500 |
| Mailing Fax Number | 6629832500 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JIMMY SCOTT SWANSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6629832500 |
| Authorized Official Credential | CP |
| 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 |
|---|---|---|---|
| MS | 03777044 | 05 |
| Street Address |
225 E CALHOUN ST |
| City | BRUCE |
| State | MS |
| Zip Code | 38915-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286456 | Reconnect Wellness Bruce LLC | Preferred Provider Organization | 131 Public Square, Bruce, MS 38915 | 2017-03-09 |
| 1710286356 | Damon Doler | Physical Therapist | 176 Hwy 9, Bruce, MS 38915 | 2011-03-22 |
| 1124332135 | Anna Claire Jefcoat | Physical Therapy Assistant | 176 Highway 9 N, Bruce, MS 38915 | 2010-08-02 |
| 1487968574 | Elizabeth Kavanagh | Physical Therapist | 176 Hwy 9 North, Bruce, MS 38915 | 2010-07-30 |
| 1851611974 | Becky F. Butts | Speech-Language Pathologist | 176 Hwy 9 N, Bruce, MS 38915 | 2010-06-11 |
| 1013048453 | Bruce Nursing Center, Inc. | Nursing Facility/Intermediate Care Facility | 176 Hwy 9 South, Bruce, MS 38915 | 2007-03-08 |
| 1851477079 | Tom B Longest Jr. | Family Medicine | 128 Public Square, Bruce, MS 38915 | 2006-10-31 |
| 1780772780 | Wells Medical Clinic Inc | Family Medicine | 407 East Calhoun St, Bruce, MS 38915 | 2006-10-11 |
| 1588681050 | Freds Stores of Tennessee Inc | Pharmacy | 403 W Calhoun Street, Bruce, MS 38915 | 2006-07-17 |
| 1891334702 | Tiffany Palertree Moore | Speech-Language Pathologist | 131 Public Square, Bruce, MS 38915 | 2019-12-26 |
| Find all providers in zip 38915 | ||||
| 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 |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1881219046 | Color Me Jazzy | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-560, Ridgeland, MS 39157-4861 | 2020-06-13 |
| 1154945418 | Dream Hair Care | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste E, Hattiesburg, MS 39402-1006 | 2020-06-02 |
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1275155749 | Fearless Beauty Company | Prosthetic/Orthotic Supplier | 611 S Pear Orchard Rd # 771, Ridgeland, MS 39157-4836 | 2020-05-07 |
| 1982225850 | Luxury Locs | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste D, Hattiesburg, MS 39402-1006 | 2020-05-02 |
| 1518587914 | Bmb Medical Beautique | Prosthetic/Orthotic Supplier | 6515 Goodman Rd Ste 300, Olive Branch, MS 38654-7333 | 2020-04-26 |
| 1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
| 1083234462 | Shear Beauty 31 Hair Studio | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-573, Ridgeland, MS 39157-4861 | 2020-04-25 |
| 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.