ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC (NPI# 1194750190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194750190 |
Entity Type | Organization |
Organization Name | ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC |
Practice Address |
577 Ralph Mcgill Blvd Ne Atlanta GA 30312-1110 |
Practice Telephone | 4042159944 |
Practice Fax Number | 4042159160 |
Mailing Telephone | 4042159944 |
Mailing Fax Number | 4042159160 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. HARRY D WATKINS SR. (CERTIFIED ORTHOTIST) |
Authorized Official Telephone | 4042159944 |
Authorized Official Credential | BOCO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
X | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
X | 246Z00000X | Specialist/Technologist, Other | 090590LGS | GA | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00929651A | 05 | |
GA | 00929651C | 05 |
Street Address |
577 RALPH MCGILL BLVD NE |
City | ATLANTA |
State | GA |
Zip Code | 30312-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477875201 | Carolyn Denise Scott | Prosthetist | 577 Ralph Mcgill Blvd Ne, Atlanta, GA 30312-1110 | 2010-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
Find all providers in zip 30312 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919136 | Aklor Inc | Durable Medical Equipment & Medical Supplies | 2310 Parklake Dr Ne Ste 135, Atlanta, GA 30345-2913 | 2020-07-14 |
1669990495 | Craniofacial Pain Center of Georgia PC | Durable Medical Equipment & Medical Supplies | 200 Ashford Ctr N Ste 195, Atlanta, GA 30338-2668 | 2017-08-31 |
1255706453 | Chester Kenney Jr. | Durable Medical Equipment & Medical Supplies | 2141 Springdale Rd Sw, #626, Atlanta, GA 30315-6100 | 2015-12-14 |
1235500430 | Viewtech Consulting, Inc | Durable Medical Equipment & Medical Supplies | 11 Perimeter Ctr E, 2106, Atlanta, GA 30346-1647 | 2015-10-14 |
1174999858 | Cranial Technologies Inc | Durable Medical Equipment & Medical Supplies | 5901 Peachtree Dunwoody Rd Ste A155, Atlanta, GA 30328-5382 | 2015-08-17 |
1669768081 | Mr. Neb, LLC | Durable Medical Equipment & Medical Supplies | 5076 Winters Chapel Rd Ste 200, Atlanta, GA 30360-1832 | 2011-06-23 |
1053436485 | Alfonso Enterprises | Durable Medical Equipment & Medical Supplies | 2997 N Druid Hills Rd Ne, Atlanta, GA 30329-3909 | 2007-03-21 |
1457424277 | John R Patterson | Durable Medical Equipment & Medical Supplies | 6307b Roswell Rd Ne, Atlanta, GA 30328-3209 | 2006-11-17 |
1154334266 | Custom Healthcare of Georgia LLC | Durable Medical Equipment & Medical Supplies | 3097 Presidential Dr, Suite F, Atlanta, GA 30340-3914 | 2006-08-14 |
1952357873 | Mobility Designs | Durable Medical Equipment & Medical Supplies | 3715 Northcrest Rd, Suite 28, Atlanta, GA 30340-3411 | 2006-05-25 |
Find all providers in ATLANTA |
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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.