ONE SOURCE OF THE GULF COAST INC. (NPI# 1487170197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487170197 |
| Entity Type | Organization |
| Organization Name | ONE SOURCE OF THE GULF COAST INC. |
| Practice Address |
1805 Old Shell Rd Mobile AL 36607-3416 |
| Mailing Address |
3004 Bienville Blvd Ste 1 Ocean Springs MS 39564-4370 |
| Practice Telephone | 2514598600 |
| Practice Fax Number | 2514598601 |
| Mailing Telephone | 2288753828 |
| Mailing Fax Number | 2284363580 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | WILLIAM K. WADE (V.P.) |
| Authorized Official Telephone | 2288753828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1805 OLD SHELL RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114152428 | Surgical Equipment Resources, Inc | Durable Medical Equipment & Medical Supplies | 1805 Old Shell Rd, Mobile, AL 36607-3416 | 2009-05-17 |
| 1265820823 | Patton Medical of The Gulf Coast, Inc | Prosthetic/Orthotic Supplier | 1805 Old Shell Rd, Mobile, AL 36607-3416 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| 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 |
|---|---|---|---|---|
| 1740794734 | Alabama Artificial Limb & Orthopedic Service, Inc. | Prosthetic/Orthotic Supplier | 721 Oak Circle Dr E Ste B, Mobile, AL 36609-4221 | 2017-11-29 |
| 1215374384 | Restorative Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3456 Spring Hill Ave, Ste19, Mobile, AL 36608-1523 | 2013-05-30 |
| 1043558976 | Edmond J Restivo Jr. | Prosthetic/Orthotic Supplier | 3456 Spring Hill Ave Ste 19, Mobile, AL 36608-1523 | 2013-01-28 |
| 1437407715 | Bayside Medical Supply, LLC | Prosthetic/Orthotic Supplier | 102 Item Ave, Mobile, AL 36607-2902 | 2012-08-17 |
| 1912274747 | Shearmetrics Hair Salon | Prosthetic/Orthotic Supplier | 2282 Moss Creek Ct, Mobile, AL 36695-3783 | 2011-11-22 |
| 1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
| 1790016145 | Prosthetic Wig Center Inc. | Prosthetic/Orthotic Supplier | 90 N Sage Ave, Mobile, AL 36607-2638 | 2010-01-25 |
| 1033272638 | Orthotic & Prosthetic Associates Inc | Prosthetic/Orthotic Supplier | 1557 Spring Hill Ave Ste A, Mobile, AL 36604-3218 | 2006-12-18 |
| 1447340971 | Janice S Morrissette | Prosthetic/Orthotic Supplier | 7000 Airport Blvd, Mobile, AL 36608-3713 | 2006-10-13 |
| 1063501674 | L&b Shoes Inc | Prosthetic/Orthotic Supplier | 4663 Airport Blvd, Mobile, AL 36608-3125 | 2006-10-12 |
| Find all providers in MOBILE | ||||
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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.