MR. PAUL E. PRUSAKOWSKI (NPI# 1720079775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720079775 |
Entity Type | Individual |
Full Name | MR. PAUL E. PRUSAKOWSKI |
Credential | CPO, LPO |
Practice Address |
6830 Nw 11th Pl Ste A Gainesville FL 32605-4254 |
Practice Telephone | 3523314221 |
Practice Fax Number | 3523328074 |
Mailing Telephone | 3523314221 |
Mailing Fax Number | 3523328074 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | POR56 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 224P00000X | Prosthetist | POR56 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6830 NW 11TH PL STE A |
City | GAINESVILLE |
State | FL |
Zip Code | 32605-4254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609316975 | Gainesville Medical Obesity Specialty Clinic LLC | Clinic/Center | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2017-03-06 |
1578986857 | Sara Webber | Physician Assistant | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2014-01-22 |
1932378056 | Shannon River Enterprises,inc. | Eyewear Supplier (Equipment, not the service) | 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 | 2008-02-22 |
1851574107 | William Hogan | Technician/Technologist | 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 | 2007-12-10 |
1548280092 | Yili Zhou LLC | Pain Medicine | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2006-07-20 |
1992785893 | Cynthia Lynn Larimer | Family Medicine | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
Find all providers in zip 32605 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
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 |
---|---|---|---|---|
1447612205 | Shannon Ovwigho | Prosthetist | 1105 Nw 13th St, Gainesville, FL 32601-4137 | 2016-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
1588279434 | Kourtney James | Prosthetist | 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 | 2020-09-08 |
1750910790 | Gabriela Jamur | Prosthetist | 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 | 2020-04-02 |
1013543701 | Kateau Cerisme | Prosthetist | 320 N Magnolia Ave, Orlando, FL 32801-1624 | 2020-03-13 |
1780217174 | Amber Baker | Prosthetist | 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 | 2020-02-13 |
1992336192 | Antakeisha Lavonte Hepburn | Prosthetist | 2326 Nw 51st St, Miami, FL 33142-3677 | 2020-01-28 |
1164067211 | Rayna K Bradley | Prosthetist | 148 Lake Ave, Maitland, FL 32751-6424 | 2019-11-13 |
1376001982 | Kerryann Williams | Prosthetist | 6515 Nw 1st St, Margate, FL 33063-5101 | 2019-03-04 |
1528526126 | Latoya Patrick | Prosthetist | 11361 Sheffield Rd, Spring Hill, FL 34608-2260 | 2019-03-04 |
1275091878 | Debbie Denizard | Prosthetist | 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 | 2019-03-04 |
Find all providers with the same taxonomy |
City | GAINESVILLE |
Zip Code | 32605 |
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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.