EXCEL PROSTHETICS & ORTHOTICS, INC. (NPI# 1528192200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528192200 |
| Entity Type | Organization |
| Organization Name | EXCEL PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
807 Mercer St Princeton WV 24740-2907 |
| Mailing Address |
115 Albemarle Ave Se Roanoke VA 24013-2205 |
| Practice Telephone | 3044250286 |
| Mailing Telephone | 5409820205 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | DOUGLAS C WALTERS (PRESIDENT) |
| Authorized Official Telephone | 5409820205 |
| Authorized Official Credential | CPO |
| 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 |
|---|---|---|---|
| VA | 009190198 | 05 | |
| WV | 0147037000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427147123 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1700 Vineyard St, Bluefield, WV 24701-4025 | 2006-10-12 |
| 1457440166 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1319 Sunset Drive, Suite 203, Johnson City, TN 37604-5474 | 2006-10-12 |
| 1609965318 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2255 Langhorne Rd, Suite 1, Lynchburg, VA 24501-1117 | 2006-10-12 |
| 1851480560 | Excel Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 312 S Main St, Danville, VA 24541-2926 | 2006-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EXCEL PROSTHETICS & ORTHOTICS, INC. | 115 Albemarle Ave Se, Roanoke, VA 24013-2205 |
| Street Address |
807 MERCER ST |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| 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 |
|---|---|---|---|---|
| 1750558235 | Setco Inc | Prosthetic/Orthotic Supplier | 532 S Main St, Princeton, IL 61356-2007 | 2008-05-13 |
| 1861879330 | Fairview Health Services | Prosthetic/Orthotic Supplier | 911 Northland Dr, L001, Princeton, MN 55371-2172 | 2015-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049092 | Western Reserve Orthotics Prosthetics Centre Inc | Prosthetic/Orthotic Supplier | 1 Community St Ste 1, Wheeling, WV 26003-5250 | 2020-09-25 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
| 1316405640 | Elizur Corporation | Prosthetic/Orthotic Supplier | 1001 W Baltimore St Ste 3, Mcmechen, WV 26040-1503 | 2019-03-05 |
| 1790278133 | New Horizon Orthotic & Prosthetic Systems | Prosthetic/Orthotic Supplier | 5505 Us Route 60 Ste 190, Huntington, WV 25705-2031 | 2018-06-11 |
| 1710482088 | Noni | Prosthetic/Orthotic Supplier | 917 20th St, Huntington, WV 25703-1809 | 2018-03-28 |
| 1225540263 | Eye Candy Beauty Supply | Prosthetic/Orthotic Supplier | 208 Adams St, Fairmont, WV 26554-2826 | 2017-10-31 |
| 1124478854 | Anatomical Designs, Inc. | Prosthetic/Orthotic Supplier | 8000 Jerry Dove Drive Suite 104, Bridgeport, WV 26330-0000 | 2016-06-14 |
| 1154742328 | Ace Medical LLC | Prosthetic/Orthotic Supplier | 2702 1st Ave, Huntington, WV 25702-1340 | 2013-12-13 |
| 1528304649 | The Progressive Orthopaedic Company,llc | Prosthetic/Orthotic Supplier | 1000 Hampton Ctr, Suite D, Morgantown, WV 26505-3315 | 2012-12-18 |
| Find all providers with the same taxonomy | ||||
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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.