AKBK (NPI# 1083727358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083727358 |
| Entity Type | Organization |
| Organization Name | AKBK |
| Other Organization Name | CROCKETT PROSTHETICS & ORTHOTICS |
| Practice Address |
4503 Walker Blvd Knoxville TN 37917-1526 |
| Practice Telephone | 8656882626 |
| Practice Fax Number | 8656883647 |
| Mailing Telephone | 8656882626 |
| Mailing Fax Number | 8656883647 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | MR. PETER PAUL KOSLOSKI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8656882626 |
| Authorized Official Credential | CPO, FAAOP |
| 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 |
|---|---|---|---|
| TN | 3555750 | 05 | |
| TN | BLUE CROOS BLUE SHEILD | 0086519 | 01 |
| Other Name | Type Code |
|---|---|
| Crockett Prosthetics & Orthotics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902993124 | Akbk | Prosthetic/Orthotic Supplier | 10932 Murdock Dr, Suite 105a, Knoxville, TN 37932-3239 | 2006-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AKBKMM, LLC | 17426 Bothell Way Ne Unit A305, Bothell, WA 98011-1951 |
| Street Address |
4503 WALKER BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124370762 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 4503 Walker Blvd, Knoxville, TN 37917-1526 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| 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 |
|---|---|---|---|---|
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1437692548 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 9051 Executive Park Dr Ste 100, Knoxville, TN 37923-4651 | 2016-11-21 |
| 1083985014 | Paul Gary Lakins Ah-mazing Orthotics | Prosthetic/Orthotic Supplier | 151 Sherway Rd Ste 2, Knoxville, TN 37922-2236 | 2012-01-23 |
| 1770760654 | Betty's Boutique | Prosthetic/Orthotic Supplier | 414 Overhill Rd, Knoxville, TN 37914-4328 | 2008-01-23 |
| 1073680591 | Regina Nannette Cox | Prosthetic/Orthotic Supplier | 6618 Bay Circle Dr, Knoxville, TN 37918-9109 | 2006-11-29 |
| 1902993124 | Akbk | Prosthetic/Orthotic Supplier | 10932 Murdock Dr, Suite 105a, Knoxville, TN 37932-3239 | 2006-10-09 |
| 1306933130 | Specialty Medical | Prosthetic/Orthotic Supplier | 7815 B Oak Ridge Hwy, Knoxville, TN 37931-2314 | 2006-10-05 |
| 1932640992 | Fredrick M Avery | Prosthetic/Orthotic Supplier | 2900 Sutherland Ave, Knoxville, TN 37919-4536 | 2017-03-10 |
| Find all providers in KNOXVILLE | ||||
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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.