HAL MEDICAL O&P TENNESSEE, LLC (NPI# 1730678590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730678590 |
| Entity Type | Organization |
| Organization Name | HAL MEDICAL O&P TENNESSEE, LLC |
| Practice Address |
135 N 1st St Ste A Pulaski TN 38478-3225 |
| Practice Telephone | 2562302321 |
| Practice Fax Number | 2562302323 |
| Mailing Telephone | 2562302321 |
| Mailing Fax Number | 2562302323 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MR. JONATHAN R BERRYHILL (OWNER) |
| Authorized Official Telephone | 2562302321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
135 N 1ST ST STE A |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
| 1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
| 1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
| 1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
| 1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
| Find all providers in zip 38478 | ||||
| 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 |
|---|---|---|---|---|
| 1851853865 | Marjorie D. Branch | Prosthetist | 949 E Brooks Rd, Memphis, TN 38116-3100 | 2019-04-01 |
| 1316415987 | Juliette Primm | Prosthetist | 1710 Sheila Ann Dr, Mount Juliet, TN 37122-3295 | 2018-11-12 |
| 1588146872 | Paula A Cobbs | Prosthetist | 6295 Summer Ave, Memphis, TN 38134-5982 | 2018-09-03 |
| 1134621907 | Ava Lawanda Freeman | Prosthetist | 285 Dover Rd Ste 7, Clarksville, TN 37042-4155 | 2018-03-07 |
| 1861911497 | Pampered Health Cosmedic Studio, LLC | Prosthetist | 2528 Labonte Dr, Memphis, TN 38127-3608 | 2017-09-14 |
| 1073037248 | Unique Boutique | Prosthetist | 1127 N Eastman Rd Ste A, Kingsport, TN 37664-3165 | 2017-07-31 |
| 1992239578 | David Seaman | Prosthetist | 6807 Summer Ave, Bartlett, TN 38134-4742 | 2017-04-20 |
| 1467857243 | Tammy Kim Almond | Prosthetist | 109 Broyles Dr, Suite A, Johnson City, TN 37601 | 2014-10-23 |
| 1871748178 | Gary Lee Howell | Prosthetist | 800 Stonegate Rd., Kingsport, TN 37660 | 2008-12-01 |
| 1720120900 | John Kevin Gardner | Prosthetist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
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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.