TERRY ETHER (NPI# 1316095177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316095177 |
| Entity Type | Individual |
| Full Name | TERRY ETHER |
| Credential | C.P.O. |
| Practice Address |
3224 Lake Woodard Dr Suite 100 Raleigh NC 27604-3659 |
| Practice Telephone | 9192316890 |
| Practice Fax Number | 9192313490 |
| Mailing Telephone | 9192316890 |
| Mailing Fax Number | 9192313490 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704336 | 05 | |
| NC | 7702039 | 05 | |
| NC | BCBS | 0414L | 01 |
| NC | 7795214 | 05 |
| Street Address |
3224 LAKE WOODARD DR SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730140823 | Adaptive Technologies LLC | Prosthetic/Orthotic Supplier | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2006-03-29 |
| 1225562283 | Rebekka Jonette Reets | Orthotic Fitter | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2017-04-17 |
| 1588110563 | Elizabeth Stuenkel Selgrade | Orthotist | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2016-08-30 |
| 1750773651 | Melanie Larsson | Orthotist | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2015-03-02 |
| 1689917874 | Christina P May | Mastectomy Fitter | 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 | 2013-04-05 |
| 1053689042 | Catherine J Adkins | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-12-06 |
| 1831478247 | Brian M Gold | Orthotist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-08-16 |
| 1033267877 | Brian Prout | Orthotist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
| 1023166881 | Eddie Vernon White | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
| 1336586080 | Charles Steven Woolfe | Orthotist | 3410 Executive Dr Ste 203, Medical Office Building 1, Raleigh, NC 27609-7400 | 2013-06-03 |
| 1992051320 | Sidney Kieppe Nelson | Orthotist | 3410 Executive Dr. Ste 203, Bldg 1, Raleigh, NC 27609 | 2012-08-03 |
| 1457376931 | Marco T Calcagno | Orthotist | 9120 Deershire Ct, Raleigh, NC 27615-4099 | 2006-07-13 |
| 1952352270 | Robert B Walters | Orthotist | 3909 Sunset Ridge Rd, Ste 103, Raleigh, NC 27607-6667 | 2006-05-12 |
| 1356940506 | Manuel Contreras | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2020-10-20 |
| 1275163347 | David Benjamin Wright | Orthotist | 3320 Executive Dr Ste 210, Raleigh, NC 27609-7445 | 2020-01-17 |
| 1306348354 | Jillian Kay Hitchcock | Orthotist | 3410 Executive Dr Ste 203, Raleigh, NC 27609-7400 | 2018-03-06 |
| 1104328368 | Alexandra Patricia Frost | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-03-05 |
| Find all providers in RALEIGH | ||||
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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.