KENNEY ORTHOPEDICS OF SEYMOUR, LLC (NPI# 1770907362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770907362 |
| Entity Type | Organization |
| Organization Name | KENNEY ORTHOPEDICS OF SEYMOUR, LLC |
| Practice Address |
635 E Tipton St Seymour IN 47274-3519 |
| Mailing Address |
208 Normandy Ct Nicholasville KY 40356-9169 |
| Practice Telephone | 8122711627 |
| Practice Fax Number | 8122711235 |
| Mailing Telephone | 8592411015 |
| Mailing Fax Number | 8592411088 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | DANIEL HEIDEMANN (CFO) |
| Authorized Official Telephone | 8592411015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
635 E TIPTON ST |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| 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 |
|---|---|---|---|---|
| 1407260441 | Tim Ruth | Prosthetic/Orthotic Supplier | 635 East Tipton Street, Seymour, IN 47274-3519 | 2014-06-18 |
| 1558688689 | Bley's LLC | Prosthetic/Orthotic Supplier | 50 Hancock St, Seymour, IN 47274-4406 | 2010-04-29 |
| 1588839179 | Nash Surgical Supply Co. Inc. | Prosthetic/Orthotic Supplier | 100 Bank St, Suite 206b, Seymour, CT 06483-2806 | 2008-04-24 |
| 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 |
| 1982220109 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 3647 Clifty Dr, Madison, IN 47250-1649 | 2020-06-23 |
| 1154941557 | Radiance Renewed | Prosthetic/Orthotic Supplier | 9445 Indianapolis Blvd Ste 1042, Highland, IN 46322-2648 | 2020-04-26 |
| 1295397735 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Prosthetic/Orthotic Supplier | 200 E Jackson Blvd Ste 130, Elkhart, IN 46516-3513 | 2019-07-05 |
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1285135913 | Excel Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3200 Sycamore Ct Ste 2b, Columbus, IN 47203-1552 | 2018-02-27 |
| 1003326174 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 3130a Windsor Ct, Elkhart, IN 46514-5556 | 2017-10-03 |
| 1285144352 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1101 Glendale Blvd Ste 105, Valparaiso, IN 46383-3769 | 2017-10-03 |
| 1669904579 | Jordan Poynter | Prosthetic/Orthotic Supplier | 3708 S Lafountain St, Kokomo, IN 46902-3805 | 2017-03-30 |
| 1184156101 | Shawn Dee Brown | Prosthetic/Orthotic Supplier | 2410 N Glendale Dr Ste C, Fort Wayne, IN 46804-8909 | 2017-03-29 |
| 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.