DEMETRIUS BRAXTON (NPI# 1508041286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508041286 |
| Entity Type | Individual |
| Full Name | DEMETRIUS BRAXTON |
| Practice Address |
9703 Starboard Ct Cheltenham MD 20623-1357 |
| Mailing Address |
Po Box 582 Cheltenham MD 20623-0582 |
| Practice Telephone | 2024313880 |
| Practice Fax Number | 3017829769 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467800326 | Demetrius Braxton | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2016-06-01 |
| Street Address |
9703 STARBOARD CT |
| City | CHELTENHAM |
| State | MD |
| Zip Code | 20623-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922467257 | Alexandra Diane Joyce Williams | Counselor | 10320 Blackstone Ave, Cheltenham, MD 20623 | 2016-02-15 |
| 1417013749 | Jean Wheeler Smith | Psychiatry & Neurology | 9400 Surratts Rd, Cheltenham, MD 20623 | 2006-12-29 |
| 1720591530 | Michelle S. Williams | Counselor | 10208 Farrar Ave, Cheltenham, MD 20623-1029 | 2017-11-15 |
| 1730335431 | Kyrese Angela Scott | Dietitian, Registered | 10708 Westwood Dr, Cheltenham, MD 20623-1107 | 2008-08-13 |
| 1295070563 | Shameeka Latoya Mcclain | Occupational Therapy Assistant | 10605 Bailey Dr, Cheltenham, MD 20623-1111 | 2012-11-28 |
| 1417569146 | Chiamaka Nwachukwu | Dietitian, Registered | 10511 Bailey Dr, Cheltenham, MD 20623-1113 | 2020-08-24 |
| 1386936425 | Valencia Chloe Smith | Registered Nurse | 10411 Blackstone Ave, Cheltenham, MD 20623-1124 | 2011-05-09 |
| 1124265111 | Rachel's Wings | In Home Supportive Care | 10402 Chepstow Pl, Cheltenham, MD 20623-1163 | 2009-01-13 |
| 1568892057 | Sherrell Izlar-carr | Social Worker | 10408 Terraco Dr, Cheltenham, MD 20623-1200 | 2013-11-19 |
| 1720448558 | Center for Mental Wellness & Assessments, Inc | Community/Behavioral Health | 10408 Terraco Dr, Cheltenham, MD 20623-1200 | 2016-03-07 |
| Find all providers in zip 20623 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] 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 |
|---|---|---|---|---|
| 1629629159 | Sabinne K Shepelsky | Orthotic Fitter | 1500 Reisterstown Rd Ste 224, Pikesville, MD 21208-3836 | 2019-09-25 |
| 1336385863 | Kyle Austin Krabill | Orthotic Fitter | 7201 Friendship Rd, Pittsville, MD 21850-2039 | 2009-01-06 |
| 1669543245 | Lucy M Mohr | Orthotic Fitter | 104 Robin Hood Trl, Ocean Pines, MD 21811-1687 | 2006-11-13 |
| 1962628768 | Timothy John Mulvihill Jr. | Orthotic Fitter | 319 Linden Ave, Edgewater, MD 21037-4814 | 2007-04-18 |
| City | CHELTENHAM |
| Zip Code | 20623 |
Please comment or provide details below to improve the information on DEMETRIUS BRAXTON.
| 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.