GREATER FLINT PROSTHETIC CENTER (NPI# 1699975896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699975896 |
| Entity Type | Organization |
| Organization Name | GREATER FLINT PROSTHETIC CENTER |
| Practice Address |
2255 S Linden Rd Flint MI 48532-5417 |
| Practice Telephone | 8107202555 |
| Practice Fax Number | 8107202551 |
| Mailing Telephone | 8107202555 |
| Mailing Fax Number | 8107202551 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | MR. REX WINDSOR MILLER (PRESIDENT) |
| Authorized Official Telephone | 8107202555 |
| Authorized Official Credential | C.P. |
| 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 |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 85OB50516 | 01 |
| MI | 4264132 | 05 |
| Street Address |
2255 S LINDEN RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271640 | Rex Windsor Miller | Prosthetist | 2255 S Linden Rd, Flint, MI 48532-5417 | 2006-07-05 |
| 1972130342 | Jamie Tidswell | Licensed Practical Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2020-03-25 |
| 1194384768 | Lin Richards | Licensed Practical Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-06-07 |
| 1518420140 | Janet Corwin | Registered Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-04-10 |
| 1649739293 | Brenda Louise Mayes-sullivan | Licensed Practical Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-03-13 |
| 1740748805 | Kimberly L Moore | Registered Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-03-07 |
| 1295292902 | Linda Allison Owens | Registered Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-02-28 |
| 1093272262 | Sally Ann Jordan | Registered Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-02-25 |
| 1730646985 | Sabu Neerampuzha | Licensed Practical Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-02-25 |
| 1053842708 | Alicia Clover | Registered Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2017-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
|---|---|---|---|---|
| 1356840144 | Next Step Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 3499 S Linden Rd Ste 6, Flint, MI 48507-3022 | 2018-02-07 |
| 1710276654 | A Fox International Inc | Prosthetic/Orthotic Supplier | G3426 Beecher Rd, Flint, MI 48532-3658 | 2011-03-31 |
| 1669459269 | Michigan Orthopedic Services LLC | Prosthetic/Orthotic Supplier | G1213 N. Ballenger Hwy, Flint, MI 48504-4435 | 2005-12-27 |
| 1679994743 | Vascular Surgery Assoc PC | Prosthetic/Orthotic Supplier | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2013-12-17 |
| 1710959150 | Vascular Surgery Assoc PC | Prosthetic/Orthotic Supplier | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
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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.