FOURROUX PROSTHETICS, INC (NPI# 1336542224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336542224 |
Entity Type | Organization |
Organization Name | FOURROUX PROSTHETICS, INC |
Practice Address |
6630 Mcginnis Ferry Rd Ste A Duluth GA 30097-1563 |
Mailing Address |
2743 Bob Wallace Ave Sw Huntsville AL 35805-4103 |
Practice Telephone | 6785841706 |
Practice Fax Number | 8009635010 |
Mailing Telephone | 2565348672 |
Mailing Fax Number | 8009635010 |
Enumeration Date | 2014-10-06 |
Last Update Date | 2020-10-28 |
Authorized Official Name | MR. W KEITH WATSON (OWNER / PRESIDENT) |
Authorized Official Telephone | 2565348672 |
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 |
---|---|---|---|
GA | 003182704A | 05 | |
GA | BCBS OF GEORGIA | 35558878 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
1558787929 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2867 Acton Rd, Vestavia, AL 35243-2501 | 2014-03-10 |
1558786905 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5209 Linbar Dr Ste 603, Nashville, TN 37211-1027 | 2014-02-21 |
1386788636 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6740 Reese Road, Memphis, TN 38133-4978 | 2007-02-19 |
1528089604 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2743 Bob Wallace Ave Sw, Huntsville, AL 35805-4103 | 2006-07-22 |
Street Address |
6630 MCGINNIS FERRY RD STE A |
City | DULUTH |
State | GA |
Zip Code | 30097-1563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
Find all providers in zip 30097 |
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 |
---|---|---|---|---|
1861905325 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3235 Satellite Blvd Ste 150, Duluth, GA 30096-2382 | 2017-11-07 |
1073065298 | Language of Hair | Prosthetic/Orthotic Supplier | 1615 London Rd, Duluth, MN 55812-1620 | 2016-11-04 |
1053626416 | S2 Medical Supply, LLC | Prosthetic/Orthotic Supplier | 2780 Peachtree Industrial Blvd Ste C, Duluth, GA 30097-7910 | 2010-08-10 |
1962579482 | Northern Orthotic and Prosthetic Center | Prosthetic/Orthotic Supplier | 925 East Superior St, Ste 102, Duluth, MN 55802 | 2006-11-29 |
1073582003 | Medical Aid Supply House Inc | Prosthetic/Orthotic Supplier | 3547 Peachtree Industrial Blvd, Suite 4, Duluth, GA 30096-1419 | 2006-03-14 |
1265412894 | Home Care Oxygen Service Inc | Prosthetic/Orthotic Supplier | 115 N 24th Ave W, Suite A-1, Duluth, MN 55806-1923 | 2006-01-19 |
1982607222 | Medical Aid Supply House Inc | Prosthetic/Orthotic Supplier | 3455 Peachtree Industrial Blvd, Ste 980, Duluth, GA 30096-6506 | 2005-05-31 |
1083797252 | Midwest Medical Equipment & Supplies, Inc | Prosthetic/Orthotic Supplier | 530 E 2nd St, Duluth, MN 55805-1913 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
1447860150 | Shadae Renee Medical Wigs | Prosthetic/Orthotic Supplier | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 | 2020-08-06 |
1114535432 | Beauty Zone2 Medical Wigs | Prosthetic/Orthotic Supplier | 252 Keys Ferry St, Mcdonough, GA 30253-3342 | 2020-07-22 |
1619594389 | Legally Laced | Prosthetic/Orthotic Supplier | 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 | 2020-06-29 |
1093332009 | Jazzy Wigs, Rx | Prosthetic/Orthotic Supplier | 59 Urey Emerson Dr, Richland, GA 31825-6636 | 2020-06-25 |
1174147938 | Salon Asya Mignon LLC | Prosthetic/Orthotic Supplier | 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 | 2020-06-07 |
1023630928 | Michelles Beauty Bar | Prosthetic/Orthotic Supplier | 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 | 2020-05-13 |
1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
1518503432 | Regina Murff-love | Prosthetic/Orthotic Supplier | 341 Indus Ln, Lawrenceville, GA 30044-3835 | 2019-11-26 |
1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
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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.