BELLE MEDICAL WIG PROVIDER (NPI# 1710591623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710591623 |
Entity Type | Organization |
Organization Name | BELLE MEDICAL WIG PROVIDER |
Practice Address |
1300 E 86th St Indianapolis IN 46240-1910 |
Mailing Address |
4047 Braided Stream Way Apt 1d Indianapolis IN 46268-3722 |
Practice Telephone | 3179189591 |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |
Authorized Official Name | MATHERNE ESPERANCE (OWNER) |
Authorized Official Telephone | 3179189591 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Street Address |
1300 E 86TH ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46240-1910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346275203 | Robert C Cater | Internal Medicine | 1300 E 86th St, 40036, Indianapolis, IN 46240-1910 | 2006-07-11 |
1053861443 | Deborah Adams | Counselor | 1300 E 86th St, Indianapolis, IN 46240-1910 | 2016-10-10 |
1437582384 | Pierce Mobile Medicine, PC | Internal Medicine | 1300 E 86th St, Suite 14 126, Indianapolis, IN 46240-1997 | 2013-08-14 |
1114213378 | Pamela K Mullen | Pharmacist | 1300 E 86th St, Ste. 35: T-1848, Indianapolis, IN 46240-1997 | 2011-06-24 |
1518252410 | Jeseca Martel Killeen | Pharmacist | 1300 E 86th St, T-1848 Ste. 35, Indianapolis, IN 46240-1997 | 2011-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
Find all providers in zip 46240 |
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 |
---|---|---|---|---|
1639781081 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 | 2020-08-18 |
1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
1568871200 | Phyllis Davis Cosmetologist | Prosthetic/Orthotic Supplier | 2336 E 53rd St, Indianapolis, IN 46220-3430 | 2014-08-07 |
1295145068 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 1440 E County Line Rd Ste 1600, Figleaf Boutique Crcc-s, Indianapolis, IN 46227-0963 | 2014-05-02 |
1801223714 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 8645 Founders Rd, Indianapolis, IN 46268-1336 | 2013-10-09 |
1588005649 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 8935 North Meridian Street, Suite 111, Indianapolis, IN 46260 | 2013-07-17 |
1922441518 | Carmel Orthodesign, LLC | Prosthetic/Orthotic Supplier | 9591 Valparaiso Ct, Indianapolis, IN 46268-1130 | 2013-04-12 |
1255681870 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 618 N High School Rd Ste B, Indianapolis, IN 46214-3684 | 2012-09-11 |
1760742274 | Orthotic and Prosthetic Designs, LLC | Prosthetic/Orthotic Supplier | 5120 Commerce Cir Ste 104, Indianapolis, IN 46237-9717 | 2012-05-18 |
1295000909 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2012-03-13 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46240 |
Please comment or provide details below to improve the information on BELLE MEDICAL WIG PROVIDER.
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.