M D PROSTHETICS (NPI# 1427696145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427696145 |
| Entity Type | Organization |
| Organization Name | M D PROSTHETICS |
| Practice Address |
2000 Crawford St Ste 1122 Houston TX 77002-9065 |
| Practice Telephone | 8322177348 |
| Mailing Telephone | 8322177348 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | MR. DARRELL BLAZE (PRESIDENT) |
| Authorized Official Telephone | 8322177348 |
| Authorized Official Credential | LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2000 CRAWFORD ST STE 1122 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-9065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1104314780 | Keisha Davis | Prosthetist | 10350 S Post Oak Rd # 610, Houston, TX 77035-3313 | 2018-04-29 |
| 1447766092 | Delshaveon Masters | Prosthetist | 2802 W Tc Jester Blvd, Apt 1, Houston, TX 77018 | 2017-12-19 |
| 1285062125 | James Beckham | Prosthetist | 16630 Imperial Valley Dr Ste 137, Houston, TX 77060-3410 | 2013-10-30 |
| 1073881348 | Bryan T Sparks | Prosthetist | 8239 Almeda Rd, Houston, TX 77054-4101 | 2011-12-01 |
| 1760660799 | Vaughn Eugene Washington | Prosthetist | 9811 North Fwy, Suite A-108, Houston, TX 77037-1348 | 2008-01-31 |
| 1700973518 | Jon Brent Holmes | Prosthetist | 8998 Kirby Dr, Houston, TX 77054-2830 | 2006-10-05 |
| 1265488811 | Muilenburg Prosthetics, Inc. | Prosthetist | 3900 La Branch St, Houston, TX 77004 | 2006-05-25 |
| 1245220425 | Robert Schiff | Prosthetist | 2525 W. Bellfort, Suite 150, Houston, TX 77054 | 2005-10-27 |
| 1811438906 | Sonny Allen Wiggins | Prosthetist | 8998 Kirby Dr, Houston, TX 77054-2830 | 2017-03-09 |
| Find all providers in HOUSTON | ||||
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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.