UNITED ARTIFICIAL LIMB (NPI# 1730246653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730246653 |
| Entity Type | Organization |
| Organization Name | UNITED ARTIFICIAL LIMB |
| Practice Address |
95 Hickory Springs Ind Dr Canton GA 30115-7933 |
| Practice Telephone | 7703456899 |
| Practice Fax Number | 7703457341 |
| Mailing Telephone | 7703456899 |
| Mailing Fax Number | 7703457341 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | MR. RUSSELL DAVID HOLCOMB (PARTNER) |
| Authorized Official Telephone | 7703456899 |
| Authorized Official Credential | LCPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 12 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000377308A | 05 |
| Street Address |
95 HICKORY SPRINGS IND DR |
| City | CANTON |
| State | GA |
| Zip Code | 30115-7933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610475 | Russell David Holcomb | Orthotist | 95 Hickory Springs Ind Dr, Canton, GA 30115-7933 | 2007-01-02 |
| 1770640633 | Aubrey Smith | Orthotist | 95 Hickory Springs Ind Dr, Canton, GA 30115-7933 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1689296022 | Glitterati Luxury Virgin Hair Bar | Prosthetic/Orthotic Supplier | 4786 Dressler Rd Nw # 128, Canton, OH 44718-2555 | 2020-05-07 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1659731388 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 3 Remington Ave, Canton, NY 13617-3602 | 2016-02-23 |
| 1811127004 | Lucky Shoes Inc | Prosthetic/Orthotic Supplier | 4840 Everhard Rd Nw, Canton, OH 44718-2413 | 2009-07-22 |
| 1679676241 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 4694 W Tuscarawas St, Canton, OH 44708 | 2006-09-07 |
| 1285639989 | Marquis Healthcare, Inc. | Prosthetic/Orthotic Supplier | 4051 Whipple Ave Nw, Ste. A, Canton, OH 44718-2977 | 2005-06-17 |
| 1720080005 | Canton Orthotic Laboratory Inc | Prosthetic/Orthotic Supplier | 811 12th St Nw, Canton, OH 44703-1927 | 2005-06-01 |
| 1982052692 | Premier Hope Orthotic & Prosthetic Enterprises of Mississippi, LLC | Prosthetic/Orthotic Supplier | 152 Watford Park Way Dr, Suite 147, Canton, MS 39046-7900 | 2016-06-03 |
| 1225231103 | Mercy Medical Center, Inc. | Prosthetic/Orthotic Supplier | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2007-06-07 |
| 1548284029 | Perrotta Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 141 Dowd Ave, Canton, CT 06019-2401 | 2006-07-27 |
| Find all providers in CANTON | ||||
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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.