PREVAIL PROSTHETICS AND ORTHOTICS, INC (NPI# 1396916888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396916888 |
| Entity Type | Organization |
| Organization Name | PREVAIL PROSTHETICS AND ORTHOTICS, INC |
| Practice Address |
3159 E Center Street Ext Warsaw IN 46582-3901 |
| Mailing Address |
7735 W Jefferson Blvd Fort Wayne IN 46804-4135 |
| Practice Telephone | 2604835219 |
| Practice Fax Number | 2604842291 |
| Mailing Telephone | 2604835219 |
| Mailing Fax Number | 2604842291 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2013-01-10 |
| Authorized Official Name | LINDA TRZYNKA (BUSINESS MANAGER) |
| Authorized Official Telephone | 2604835219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366583759 | Prevail Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 7735 W Jefferson Blvd, Suite C, Fort Wayne, IN 46804-4135 | 2007-02-09 |
| Street Address |
3159 E CENTER STREET EXT |
| City | WARSAW |
| State | IN |
| Zip Code | 46582-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508106675 | Maxcare Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3159 E Center Street Ext, Warsaw, IN 46582-3901 | 2013-02-26 |
| 1033487111 | Maxcare Bionics Inc. | Prosthetic/Orthotic Supplier | 3159 E Center Street Ext, Warsaw, IN 46582-3901 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1376039909 | Apex Dental Studio, Inc | Dentist | 2528 Walton Blvd, Warsaw, IN 46582 | 2018-07-06 |
| 1386058428 | Mcarthur Mental Health Services | Counselor | 3201 E. Center St. Ext., Warsaw, IN 46582 | 2014-06-17 |
| 1558524918 | Vicki L Fisher | Hearing Instrument Specialist | 3165 E Center Street, Warsaw, IN 46582 | 2008-07-07 |
| 1881806024 | Lynn Marie Desjardins | Physical Therapist | 900 Provident, Warsaw, IN 46582 | 2007-05-03 |
| 1457575029 | Wayne Allen Hogenson | Chiropractor | 3701 E Center St, Warsaw, IN 46582 | 2007-04-12 |
| 1699718940 | Caitlin J Ryser | Obstetrics & Gynecology | 1355 Mariners Dr, Warsaw, IN 46582 | 2006-06-14 |
| 1609952993 | Hancock Regional Hospital | Skilled Nursing Facility | 2695 Sheldon Street, Warsaw, IN 46582-0000 | 2006-10-29 |
| 1063964724 | Elisa Kay Mcpherson | Dietitian, Registered | 2838 Ivywood Dr, Warsaw, IN 46582-1929 | 2016-10-28 |
| 1760551485 | Cardinal Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Glad St, Warsaw, IN 46582-1946 | 2006-11-07 |
| Find all providers in zip 46582 | ||||
| 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 |
|---|---|---|---|---|
| 1558539338 | Lisa E Rostvold | Prosthetic/Orthotic Supplier | 110 N Buffalo St, Warsaw, IN 46580-2754 | 2008-02-14 |
| 1265654842 | Transmed Associates, Inc. | Prosthetic/Orthotic Supplier | 2176 N Biomet Dr, Suite 2, Warsaw, IN 46582-6800 | 2007-05-03 |
| 1508106675 | Maxcare Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3159 E Center Street Ext, Warsaw, IN 46582-3901 | 2013-02-26 |
| 1033487111 | Maxcare Bionics Inc. | Prosthetic/Orthotic Supplier | 3159 E Center Street Ext, Warsaw, IN 46582-3901 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781081 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 | 2020-08-18 |
| 1982220109 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 3647 Clifty Dr, Madison, IN 47250-1649 | 2020-06-23 |
| 1154941557 | Radiance Renewed | Prosthetic/Orthotic Supplier | 9445 Indianapolis Blvd Ste 1042, Highland, IN 46322-2648 | 2020-04-26 |
| 1295397735 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Prosthetic/Orthotic Supplier | 200 E Jackson Blvd Ste 130, Elkhart, IN 46516-3513 | 2019-07-05 |
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1285135913 | Excel Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3200 Sycamore Ct Ste 2b, Columbus, IN 47203-1552 | 2018-02-27 |
| 1003326174 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 3130a Windsor Ct, Elkhart, IN 46514-5556 | 2017-10-03 |
| 1285144352 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1101 Glendale Blvd Ste 105, Valparaiso, IN 46383-3769 | 2017-10-03 |
| 1669904579 | Jordan Poynter | Prosthetic/Orthotic Supplier | 3708 S Lafountain St, Kokomo, IN 46902-3805 | 2017-03-30 |
| 1184156101 | Shawn Dee Brown | Prosthetic/Orthotic Supplier | 2410 N Glendale Dr Ste C, Fort Wayne, IN 46804-8909 | 2017-03-29 |
| Find all providers with the same taxonomy | ||||
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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.