JACK R STEELE (NPI# 1477855922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477855922 |
| Entity Type | Individual |
| Full Name | JACK R STEELE |
| Credential | CERTIFIED ORTHOTIST |
| Practice Address |
6655 Quince Rd Suite 124 Memphis TN 38119-8037 |
| Practice Telephone | 9017575461 |
| Mailing Telephone | 9017575461 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2011-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 110005528 | TN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174635668 | Jack Taylor Steele | Family Medicine | 3466 Bridgeland Drive, Suite 110, Bridgeton, MO 63044-2606 | 2006-08-31 |
| 1811905771 | Jack David Steele | Dentist | 20344 School Road, Dry Run, PA 17220 | 2006-08-04 |
| Street Address |
6655 QUINCE RD SUITE 124 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679685812 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 6655 Quince Rd, Suite 124, Memphis, TN 38119-8031 | 2006-08-31 |
| 1124322300 | Center for Orthotics and Prosthetics Inc. | Prosthetic/Orthotic Supplier | 6655 Quince Rd, Suite 124, Memphis, TN 38119-8031 | 2011-01-03 |
| 1326204918 | Stephanie Walters Adamson | Physical Therapist | 6655 Quince Rd, Suite 101, Memphis, TN 38119-8031 | 2008-08-03 |
| 1790852309 | Physiotherapy Associates Inc | Clinic/Center | 6655 Quince Rd, Suite 101, Memphis, TN 38119-8031 | 2006-11-29 |
| 1225139751 | Frances Gail Ford | Occupational Therapist | 6655 Quince Rd, Ste 101, Memphis, TN 38119-8031 | 2006-09-26 |
| 1144321647 | Michael Daniel Markee | Physical Therapist | 6655 Quince Rd, Ste 101, Memphis, TN 38119-8031 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1821545302 | Lynn's Got It Going On Beauty Salon | Prosthetic/Orthotic Supplier | 1119 Springdale St, Memphis, TN 38108-3044 | 2016-09-01 |
| 1033536180 | Center for Orthotics & Prosthetics Inc. | Prosthetic/Orthotic Supplier | 38 N Pauline St, Memphis, TN 38105-5104 | 2014-03-26 |
| 1578902011 | Mnm Ecommerce Group, LLC | Prosthetic/Orthotic Supplier | 5271 Mendenhall Park Pl, Memphis, TN 38115-5906 | 2013-06-18 |
| 1063752293 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 266 S Cleveland St Ste 102, Memphis, TN 38104 | 2013-02-25 |
| 1225311996 | Pink Ribbons LLC | Prosthetic/Orthotic Supplier | 6295 Summer Ave Ste 105, Memphis, TN 38134-5983 | 2011-09-20 |
| 1447585492 | Access P&o Central Fab | Prosthetic/Orthotic Supplier | 1089 Eastmoreland Ave, Memphis, TN 38104-3334 | 2009-10-08 |
| 1477763332 | Advanced Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 6515 Poplar Ave, Ste #112, Memphis, TN 38119-4878 | 2007-05-22 |
| Find all providers in MEMPHIS | ||||
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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.