RED STICK ORTHOPEDICS & PROSTHETICS (NPI# 1548238249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548238249 |
Entity Type | Organization |
Organization Name | RED STICK ORTHOPEDICS & PROSTHETICS |
Practice Address |
7754 Florida Blvd Baton Rouge LA 70806-4706 |
Practice Telephone | 2259289939 |
Practice Fax Number | 2259287388 |
Mailing Telephone | 2259289939 |
Mailing Fax Number | 2259287388 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2009-03-25 |
Authorized Official Name | MR. MARLON B MOORE (OWNER/ PRESIDENT) |
Authorized Official Telephone | 2259289939 |
Authorized Official Credential | B SC CO |
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 |
---|---|---|---|
LA | 1121908 | 05 |
Street Address |
7754 FLORIDA BLVD |
City | BATON ROUGE |
State | LA |
Zip Code | 70806-4706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659314235 | Kylee Crockett Cook | Dietitian, Registered | 7754 Florida Blvd, Baton Rouge, LA 70806-4706 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
Find all providers in zip 70806 |
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 |
---|---|---|---|---|
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
1255975421 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 | 2019-10-31 |
1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
1578800157 | Duramed, Inc | Prosthetic/Orthotic Supplier | 11135 Industriplex Blvd, Suite 800, Baton Rouge, LA 70809-4114 | 2013-01-15 |
1225309263 | Still Me Inc. | Prosthetic/Orthotic Supplier | 930 Oneal Ln, Suite B5, Baton Rouge, LA 70816-1807 | 2012-01-23 |
1356626287 | Simply Savonte, LLC | Prosthetic/Orthotic Supplier | 6103 Florida Blvd, Suite E, Baton Rouge, LA 70806-0600 | 2011-10-11 |
1306133186 | Ultimate Athletic Equipment | Prosthetic/Orthotic Supplier | 286 Kenwood Ave, Baton Rouge, LA 70806-4519 | 2011-06-30 |
1174615314 | Baton Rouge Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5745 Essen Ln, Suite 102, Baton Rouge, LA 70810-1115 | 2006-09-28 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70806 |
Please comment or provide details below to improve the information on RED STICK ORTHOPEDICS & PROSTHETICS.
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.