JASON N KISER (NPI# 1417124330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417124330 |
| Entity Type | Individual |
| Full Name | JASON N KISER |
| Credential | BOCPO/L |
| Practice Address |
2611 Greenbo Blvd Flatwoods KY 41139-1830 |
| Mailing Address |
Po Box 937 Flatwoods KY 41139-0937 |
| Practice Telephone | 6068339631 |
| Practice Fax Number | 6068367561 |
| Mailing Telephone | 6068339631 |
| Mailing Fax Number | 6068367561 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2009-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | TN | Suppliers |
| Street Address |
2611 GREENBO BLVD |
| City | FLATWOODS |
| State | KY |
| Zip Code | 41139-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255397550 | Precision Orthopedic Technology, Inc. | Durable Medical Equipment & Medical Supplies | 2611 Greenbo Blvd, Flatwoods, KY 41139-1830 | 2006-04-25 |
| 1568696169 | Per Diem Inc | Physical Therapy Assistant | 2611 Greenbo Blvd, Suite A, Flatwoods, KY 41139-1830 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282903 | Kristy Lynn Bell | Occupational Therapy Assistant | 2414 Todd Street Flatwoods, Flatwoods, KY 41139 | 2019-12-13 |
| 1558911461 | Lisa Ann Estep | Technician | 1216 Wheeler Street, Flatwoods, KY 41139 | 2019-09-13 |
| 1679600944 | Robert Linton Wagner | Dentist | 1402 Argillite Road, Flatwoods, KY 41139 | 2007-02-27 |
| 1487758553 | Ronald E Lewis Dmd Psc | Dentist | 909 Powell Lane, Flatwoods, KY 41139 | 2006-09-11 |
| 1790717916 | Augustinus J Lobach | Family Medicine | 2420 Argillite Road Suite B, Flatwoods, KY 41139 | 2006-07-07 |
| 1659307585 | Our Lady of Bellefonte Hospital | Family Medicine | 2420 Argillite Road, Suite B, Flatwoods, KY 41139 | 2006-06-23 |
| 1851380455 | Oakmont LLC | Skilled Nursing Facility | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2005-10-17 |
| 1114572617 | Megan Redmond | Physical Therapist | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2019-08-02 |
| 1619521606 | Karri Berlin | Nurse Practitioner | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2019-07-28 |
| 1386168847 | Brent Caleb Jackson | Occupational Therapy Assistant | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2017-07-26 |
| Find all providers in zip 41139 | ||||
| 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 |
|---|---|---|---|---|
| 1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
| 1083066468 | I Management LLC | Prosthetic/Orthotic Supplier | 1034 S Jackson St, Louisville, KY 40203-3422 | 2016-07-08 |
| 1679934111 | Pakmed LLC | Prosthetic/Orthotic Supplier | 2527 Nelson Miller Pkwy, Louisville, KY 40223-3161 | 2016-03-11 |
| 1013385558 | Kenney Orthopedics of Paducah, LLC | Prosthetic/Orthotic Supplier | 224 Berger Rd, Paducah, KY 42003-4522 | 2015-09-14 |
| 1750790689 | Center for Orthotic and Prosthetic Care of Kentucky LLC | Prosthetic/Orthotic Supplier | 4975 Alben Barkley Dr, Suite 2, Paducah, KY 42001-6722 | 2014-08-05 |
| 1780018085 | Beauty Personified LLC | Prosthetic/Orthotic Supplier | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2013-08-22 |
| 1578995155 | Motc - Louisville LLC | Prosthetic/Orthotic Supplier | 10285 Champion Farms Dr, Louisville, KY 40241-6150 | 2013-08-06 |
| 1598012262 | Premier Orthotics Inc. | Prosthetic/Orthotic Supplier | 13329 Prospect Glen Way, Prospect, KY 40059-8184 | 2012-08-13 |
| 1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
| 1245534585 | Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | 1005 West Columbia St, Suite B, Somerset, KY 42503 | 2010-12-30 |
| 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.