HUNTINGTON COMFORT SHOES AND ORTHOTICS LLC (NPI# 1306156534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306156534 |
Entity Type | Organization |
Organization Name | HUNTINGTON COMFORT SHOES AND ORTHOTICS LLC |
Practice Address |
2516b 5th Ave Huntington WV 25703-1619 |
Practice Telephone | 3045257463 |
Practice Fax Number | 3045251000 |
Mailing Telephone | 3045257463 |
Mailing Fax Number | 3045251000 |
Enumeration Date | 2010-10-21 |
Last Update Date | 2011-12-08 |
Authorized Official Name | MR. DAVID CHRIS WOOD (MEMBER) |
Authorized Official Telephone | 3045257463 |
Authorized Official Credential | CPED |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2516B 5TH AVE |
City | HUNTINGTON |
State | WV |
Zip Code | 25703-1619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
Find all providers in zip 25703 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
City | HUNTINGTON |
Zip Code | 25703 |
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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.