GREENWOOD SHOES (NPI# 1225519242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225519242 |
| Entity Type | Organization |
| Organization Name | GREENWOOD SHOES |
| Practice Address |
434 Jefferson St Lafayette LA 70501-7014 |
| Practice Telephone | 3372353746 |
| Practice Fax Number | 3372694748 |
| Mailing Telephone | 3372353746 |
| Mailing Fax Number | 3372694748 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MR. DAVID WAYNE LEBLANC (OWNER) |
| Authorized Official Telephone | 3372353746 |
| Authorized Official Credential | N/A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
434 JEFFERSON ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| 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 |
|---|---|---|---|---|
| 1174094304 | Magnolia Medical, LLC | Prosthetic/Orthotic Supplier | 626 Verot School Rd Ste C, Lafayette, LA 70508-5094 | 2018-12-16 |
| 1881099182 | Colorado Pediatric Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 399 Pika Pt, Lafayette, CO 80026-9072 | 2014-10-29 |
| 1851570964 | Lamberts Limbs & Braces Inc. | Prosthetic/Orthotic Supplier | 107 Energy Pkwy, Lafayette, LA 70508-3817 | 2007-10-25 |
| 1396810990 | Terry's Medical Specialties LLC | Prosthetic/Orthotic Supplier | 119 Leonie St, Lafayette, LA 70506-6227 | 2006-11-21 |
| 1790857803 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 1140 W South Boulder Rd Ste 101, Lafayette, CO 80026-8910 | 2006-11-14 |
| 1518070051 | Neurosurgical Applications, LLC | Prosthetic/Orthotic Supplier | 516 Verot School Rd, Lafayette, LA 70508-5026 | 2006-08-17 |
| 1457359408 | American Orthopedic & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 720 Farabee Ct, Lafayette, IN 47905-5917 | 2005-07-13 |
| 1508863689 | Lafayette Orthotics, Inc. | Prosthetic/Orthotic Supplier | 500 Saint Landry St, Lafayette, LA 70506-4626 | 2005-07-05 |
| 1710989066 | Lafayette Health Ventures, Inc. | Prosthetic/Orthotic Supplier | 1438 S College Rd, Lafayette, LA 70503-2912 | 2005-06-01 |
| 1639673965 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 204 Medical Dr, Lafayette, TN 37083-1719 | 2018-03-21 |
| Find all providers in LAFAYETTE | ||||
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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.