TERRY'S MEDICAL SPECIALTIES LLC (NPI# 1396810990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396810990 |
| Entity Type | Organization |
| Organization Name | TERRY'S MEDICAL SPECIALTIES LLC |
| Practice Address |
119 Leonie St Lafayette LA 70506-6227 |
| Practice Telephone | 3379810744 |
| Practice Fax Number | 3379819955 |
| Mailing Telephone | 3379810744 |
| Mailing Fax Number | 3379819955 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | BRENDA L. CAIN (PART OWNER / MANAGER) |
| Authorized Official Telephone | 3379810744 |
| Authorized Official Credential | CFM |
| 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 |
|---|---|---|---|
| LA | 1374156 | 05 |
| Street Address |
119 LEONIE ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| 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 |
| 1225519242 | Greenwood Shoes | Prosthetic/Orthotic Supplier | 434 Jefferson St, Lafayette, LA 70501-7014 | 2018-08-27 |
| 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 |
| 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.