PARADIGM PROSTHETICS, LLC (NPI# 1215595822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215595822 |
| Entity Type | Organization |
| Organization Name | PARADIGM PROSTHETICS, LLC |
| Practice Address |
10903 Indian Head Hwy Ste 312 Fort Washington MD 20744-4005 |
| Practice Telephone | 3017417038 |
| Mailing Telephone | 3017417038 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | MR. ROGER HAMILTON (OWNER/PROSTHETIST) |
| Authorized Official Telephone | 3017417038 |
| 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 |
|---|---|---|---|
| MEDICARE | 7763650001 | 01 | |
| MD | MEDICARE | 7763650001 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARADIGM PROSTHETICS, LLC | 5916 Cloverleaf Ave, Clinton, MD 20735-1313 |
| Street Address |
10903 INDIAN HEAD HWY STE 312 |
| City | FORT WASHINGTON |
| State | MD |
| Zip Code | 20744-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823222 | Roger Hamilton | Prosthetist | 10903 Indian Head Hwy Ste 312, Fort Washington, MD 20744-4005 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823807 | Sybil Canales | Nurse Practitioner | 8507 Oxon Hill Rd., Suite 200, Fort Washington, MD 20744 | 2019-04-04 |
| 1700372141 | Avia Barrett-powell | Nurse Practitioner | 10709 Md-210 Suite D, Fort Wasshington, MD 20744 | 2018-07-09 |
| 1285125047 | Darlene Williams-prades | Specialist | 9400 Livingston Rd Ste 400, Ft Washington, MD 20744 | 2018-05-28 |
| 1609371277 | My Girl's Place Pllc | Social Worker | 8507 Oxon Hill Rd Ste 200-s35, Fort Washington, MD 20744 | 2018-03-27 |
| 1720580293 | Janet C Nwaogu | Licensed Practical Nurse | 6856 Eastern Avenue Suite 320 A, Washington (and Vicinity), MD 20744 | 2018-03-01 |
| 1174040505 | Sharon Ray | Specialist | 12303 Parkton St, Fort Washington, MD 20744 | 2017-08-25 |
| 1013433069 | Carmilla Wheeler | Specialist/Technologist | 12515 Langner Drive, Fort Washington, MD 20744 | 2017-08-21 |
| 1194266627 | Brian Cooper I | Home Health Aide | 9008 Branchview Dr, Fort Washington, MD 20744 | 2017-03-16 |
| 1467803973 | Saint Pharmacy, Inc | Pharmacy | 5608 Saint Barnabas Road, Suite 120, Fort Washington, MD 20744 | 2016-06-27 |
| 1962802959 | Eric Fosung Fotang | Pharmacist | 8201 Oxon Hill Road, Fort Washington, MD 20744 | 2014-08-27 |
| Find all providers in zip 20744 | ||||
| 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 |
|---|---|---|---|---|
| 1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
| 1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
| 1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
| 1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
| 1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
| 1609315530 | El&s LLC | Prosthetic/Orthotic Supplier | 3523 Fort Meade Rd, Laurel, MD 20724-2013 | 2017-02-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHINGTON |
| Zip Code | 20744 |
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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.