MUSC PROSTHETIC ORTHOTIC SERVICES LLC (NPI# 1306350426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306350426 |
| Entity Type | Organization |
| Organization Name | MUSC PROSTHETIC ORTHOTIC SERVICES LLC |
| Practice Address |
135 Rutledge Ave Fl 4 Charleston SC 29425-8903 |
| Mailing Address |
3801 W Montague Ave Ste 100 North Charleston SC 29418-5983 |
| Practice Telephone | 8438767063 |
| Mailing Telephone | 8435779577 |
| Mailing Fax Number | 8437181438 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | CLARENCE R HOOPER JR. (MANAGING PARTNER) |
| Authorized Official Telephone | 8435779577 |
| Authorized Official Credential | CPO |
| 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 |
|---|---|---|---|
| TAXONOMY | 335E00000X | 01 |
| Street Address |
135 RUTLEDGE AVE FL 4 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| 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 |
|---|---|---|---|---|
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1669893624 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1331 Ashley River Rd Bldg C, Charleston, SC 29407-5315 | 2013-12-18 |
| 1174848485 | Mcgrew Orthopedic, LLC | Prosthetic/Orthotic Supplier | 1301 Washington Street W, Charleston, WV 25302-1909 | 2010-03-30 |
| 1972747855 | Carolina Orthotics and Prosthetics of Myrtle Beach LLC | Prosthetic/Orthotic Supplier | 285 Meeting St, Charleston, SC 29401-1550 | 2009-04-23 |
| 1982884433 | Lehotay Prosthetics, LLC | Prosthetic/Orthotic Supplier | 624 Central Ave, Charleston, WV 25302-1912 | 2007-11-13 |
| 1548454242 | C Howell Shoes Inc | Prosthetic/Orthotic Supplier | 1755 Sam Rittenberg Blvd, Charleston, SC 29407-4927 | 2007-09-05 |
| 1770774895 | Adaptive Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1033 Wappoo Rd, Suite E, Charleston, SC 29407-6087 | 2007-08-05 |
| 1649203670 | Charleston Orthopedic Appliances Inc | Prosthetic/Orthotic Supplier | 1532 Kanawha Blvd W, Charleston, WV 25312-2533 | 2006-07-10 |
| 1639124423 | Mountain State Prosthetics, LLC | Prosthetic/Orthotic Supplier | 216 Brooks St, Suite 100, Charleston, WV 25301-1828 | 2006-05-23 |
| 1811968720 | Active Mobility, LLC | Prosthetic/Orthotic Supplier | 18 Leinbach Dr, Unit E, Charleston, SC 29407-7916 | 2006-01-30 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.