NORTH CAROLINA ORTHOTICS & PROSTHETICS (NPI# 1427136845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427136845 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA ORTHOTICS & PROSTHETICS |
| Practice Address |
451 Ruin Creek Rd Suite 102 Henderson NC 27536-2878 |
| Practice Telephone | 2524362611 |
| Practice Fax Number | 2524362640 |
| Mailing Telephone | 2524362611 |
| Mailing Fax Number | 2524362640 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | CINDY JOHNCOUR (OWNER) |
| Authorized Official Telephone | 9195563402 |
| 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 |
|---|---|---|---|
| NC | BLUE CROSS & BLUE SHIELD | 046KY | 01 |
| NC | 7703875 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063556983 | North Carolina Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 2717 Leighton Ridge Dr, Suite 100, Wake Forest, NC 27587-5987 | 2007-02-16 |
| Street Address |
451 RUIN CREEK RD SUITE 102 |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194671 | Cornelius F Cathcart | Pediatrics | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2006-04-19 |
| 1790221612 | Interventional Pain Center, Pllc | Anesthesiology | 451 Ruin Creek Rd, Suite 103, Henderson, NC 27536-2878 | 2017-01-17 |
| 1235530825 | Lovika Horton | Nurse Practitioner | 451 Ruin Creek Rd, Henderson, NC 27536-2878 | 2014-09-15 |
| 1740613207 | Mary Leann Michelle Cathcart | Nurse Practitioner | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2013-08-19 |
| 1750635470 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 451 Ruin Creek Rd, Suite 202, Henderson, NC 27536-5965 | 2012-11-02 |
| 1881904084 | Tina Gupta Dds Pa II | Clinic/Center | 451 Ruin Creek Rd, Suite 201, Henderson, NC 27536-2878 | 2010-10-21 |
| 1588982466 | Jacquetta Taisha Randall | Pediatrics | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2010-05-17 |
| 1881926517 | Britney Kasey Sanders | Physician Assistant | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2010-02-05 |
| 1518148519 | Allison Anne Hayhurst | Physician Assistant | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2007-11-19 |
| 1992902266 | Mark Fordham | Prosthetist | 451 Ruin Creek Rd, Ste. 102, Henderson, NC 27536-2878 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| 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 |
|---|---|---|---|---|
| 1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
| 1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
| 1821381328 | Park Medical Wear, Inc. | Prosthetic/Orthotic Supplier | 1697 Freedom Ct, Henderson, NV 89014-7526 | 2011-05-17 |
| 1871734947 | Range of Motion | Prosthetic/Orthotic Supplier | 1302 Dabney Drive, Henderson, NC 27536-3531 | 2009-03-18 |
| 1447443320 | John Issac Goli | Prosthetic/Orthotic Supplier | 2642 Horizon Ridge Pkwy, #a5, Henderson, NV 89052-6480 | 2007-08-23 |
| 1720286966 | Orthopedic Motion Inc | Prosthetic/Orthotic Supplier | 2930 W Horizon Ridge Pkwy, Henderson, NV 89052-5058 | 2007-07-10 |
| 1679780381 | Sequent Corporation | Prosthetic/Orthotic Supplier | 10520 S Eastern Ave, #100, Henderson, NV 89052-3900 | 2007-05-16 |
| 1821053869 | Bio-tech Prosthetics Orthotics | Prosthetic/Orthotic Supplier | 855-b South Beckford Dr, Henderson, NC 27536 | 2006-04-20 |
| 1235619776 | Physiotherapy Associates, Inc. | Prosthetic/Orthotic Supplier | 750 Coronado Center Dr Ste 120, Henderson, NV 89052-5035 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1528666195 | Skyland Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 | 2020-10-15 |
| 1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
| 1841819711 | Sc&f Enterprises, LLC | Prosthetic/Orthotic Supplier | 2187 Skibo Rd, Fayetteville, NC 28314-0264 | 2020-04-10 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1871125237 | Elite Hair Replacement Inc | Prosthetic/Orthotic Supplier | 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 | 2020-02-04 |
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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.