SYNERGY ORTHOTICS & PROSTHETICS LLC (NPI# 1215923784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215923784 |
| Entity Type | Organization |
| Organization Name | SYNERGY ORTHOTICS & PROSTHETICS LLC |
| Practice Address |
6020 W Parker Rd 200 Plano TX 75093-8171 |
| Mailing Address |
Po Box 260756 Plano TX 75026-0756 |
| Practice Telephone | 9727698344 |
| Practice Fax Number | 9727690644 |
| Mailing Telephone | 9727698344 |
| Mailing Fax Number | 9727690644 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CATHERINE ANN MIZE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9727698344 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101179 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD LICENSE NUMBE | 101179 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SYNERGY ORTHOTICS & PROSTHETICS LLC | 44081 Pipeline Plz Ste 220, Ashburn, VA 20147-5892 |
| Street Address |
6020 W PARKER RD 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799169 | Jeffrey M Adelglass | Specialist | 6020 W Parker Rd, Ste 400, Plano, TX 75093-7900 | 2005-06-02 |
| 1457882318 | Ram Haddas | Specialist | 6020 W Parker Rd, Plano, TX 75093-8171 | 2017-03-22 |
| 1760921621 | Core Anesthesia Partners Pllc | Anesthesiology | 6020 W Parker Rd, 330b, Plano, TX 75093-8171 | 2017-02-13 |
| 1104163104 | Michael Markus Glass | Physician Assistant | 6020 W Parker Rd, Suite 430, Plano, TX 75093-8171 | 2013-01-10 |
| 1447524939 | Jeremy Shane Dollar | Physician Assistant | 6020 W Parker Rd, Suite 200, Plano, TX 75093-8171 | 2012-02-29 |
| 1306119987 | Christelle Leiker | Nurse Practitioner | 6020 W Parker Rd, Suite 430, Plano, TX 75093-8171 | 2012-02-13 |
| 1669757340 | Pinkie Lashell Edwards | Physical Therapist | 6020 W Parker Rd, Ste. 200, Plano, TX 75093-8171 | 2011-10-13 |
| 1912285297 | Nicole Jolene Wiggs | Physical Therapist | 6020 W Parker Rd, Suite 200, Plano, TX 75093-8171 | 2011-08-03 |
| 1568758134 | Clifton Hancock | Orthopaedic Surgery | 6020 W Parker Rd, Suite 200, Plano, TX 75093-8171 | 2011-06-22 |
| 1497069868 | Robert Ernest Johnson | Orthopaedic Surgery | 6020 W Parker Rd, Suite 200, Plano, TX 75093-8171 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1154662864 | Advanced Prosthetic Research Inc | Prosthetic/Orthotic Supplier | 7700 San Jacinto Pl, Ste 300, Plano, TX 75024-3254 | 2013-03-05 |
| 1225207848 | Franchisee of Foot Solutions | Prosthetic/Orthotic Supplier | 2100 Dallas Pkwy, Suite 140, Plano, TX 75093-4363 | 2008-02-28 |
| 1841284593 | Loretta's Intimates Inc | Prosthetic/Orthotic Supplier | 721 N Central Expy, #420, Plano, TX 75075-8843 | 2005-09-08 |
| 1952395931 | Strobel & Associates Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 221 W Parker Rd, Suite 510, Plano, TX 75023-6914 | 2005-09-07 |
| 1295222180 | Dfw Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1721 W Plano Pkwy Ste 212, Plano, TX 75075-8600 | 2018-04-17 |
| 1881973154 | Jennifer Grunwald | Prosthetic/Orthotic Supplier | 3000 Custer Rd Ste 190, Plano, TX 75075-2082 | 2011-08-04 |
| 1700177888 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 5204 Tennyson Pkwy, Suite 100, Plano, TX 75024-7141 | 2011-04-25 |
| 1073747952 | Texas Vascular Associates | Prosthetic/Orthotic Supplier | 4708 Alliance Blvd, Suite# 240, Plano, TX 75093-5340 | 2009-05-07 |
| 1003061474 | Plano All About You Salon LLC | Prosthetic/Orthotic Supplier | 3115 W Parker Rd, Ste 345, Plano, TX 75023-8137 | 2008-11-26 |
| 1972556629 | Covenant Hand Therapy PC | Prosthetic/Orthotic Supplier | 1101 Ohio Dr, Ste 105, Plano, TX 75093 | 2006-05-17 |
| Find all providers in PLANO | ||||
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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.