MARY FREE BED ORTHOTICS AND PROSTHETICS (NPI# 1154963817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154963817 |
| Entity Type | Organization |
| Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
| Practice Address |
502 S Hamilton St Saginaw MI 48602-1511 |
| Mailing Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Practice Telephone | 6168408007 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | LAURI WALSH (MANAGER - COMPLIANCE/REVENUE CYCLE) |
| Authorized Official Telephone | 6168408268 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1154359537 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 1078 East Sternberg Rd, Muskegon, MI 49444-8796 | 2006-06-28 |
| 1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
| 1881155794 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2019-03-26 |
| 1700359908 | Mary Free Bed Orthotics and Prosthetics | Orthotist | 200 N Homer St, Lansing, MI 48912-4741 | 2019-01-10 |
| 1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
| 1528096997 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| 1437187804 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 12662 Riley St, Suite 140, Holland, MI 49424-8023 | 2006-06-28 |
| 1245268622 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| 1184607335 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 235 Wealthy St Se, Ste 1100, Grand Rapids, MI 49503-5247 | 2005-11-22 |
| Street Address |
502 S HAMILTON ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| 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 |
|---|---|---|---|---|
| 1265963029 | Scott Baranek | Prosthetist | 3995 Fashion Square Blvd Ste 11, Saginaw, MI 48603-2268 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1447877212 | Kewanna Lenise Hill | Prosthetist | 20533 Poinciana, Redford, MI 48240-1201 | 2020-06-28 |
| 1003443334 | Denitia Lynnice Morris | Prosthetist | 21537 Kelly Rd, Eastpointe, MI 48021-3213 | 2020-03-25 |
| 1245872118 | Kyra Canada | Prosthetist | 27491 Bell Rd, Southfield, MI 48034-2080 | 2019-10-11 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1871958439 | Kainnon Vilminot | Prosthetist | 3469 E Grand River Ave, Suite 110, Howell, MI 48843-8504 | 2015-12-28 |
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| 1841531175 | Lindsay Muntick | Prosthetist | 5005 Cascade Rd Se, Grand Rapids, MI 49546-8411 | 2013-03-12 |
| 1588953426 | Angela Carthan-fox | Prosthetist | 1028 Professional Dr Ste A5, Flint, MI 48532-3635 | 2011-03-31 |
| 1821306911 | Paul R Cauley | Prosthetist | 6438 Woodward Ave, Detroit, MI 48202-3216 | 2010-09-22 |
| 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.