ORTHOTICS & PROSTHETICS EAST INC (NPI# 1790736379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790736379 |
Entity Type | Organization |
Organization Name | ORTHOTICS & PROSTHETICS EAST INC |
Practice Address |
1025 Wh Smith Blvd Suite 108 Greenville NC 27834-5052 |
Practice Telephone | 2522152215 |
Practice Fax Number | 2522152216 |
Mailing Telephone | 2522152215 |
Mailing Fax Number | 2522152216 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2018-12-03 |
Authorized Official Name | MR. RICHARD SHANE COLTRAIN (PRESIDENT) |
Authorized Official Telephone | 2522152215 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7704508 | 05 | |
NC | BCBS NC # | 0464J | 01 |
Street Address |
1025 WH SMITH BLVD SUITE 108 |
City | GREENVILLE |
State | NC |
Zip Code | 27834-5052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912396052 | Garry Ogilvie | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5199 | 2015-01-13 |
1033451042 | Penny C Tripp | Pedorthist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2013-03-18 |
1306163860 | Randy L Daniel | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2010-04-23 |
1689798522 | Timothy Bruce Foster | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2007-03-17 |
1831200757 | Myriam M Daniel | Internal Medicine | 1025 Wh Smith Blvd, 106, Greenville, NC 27834-5199 | 2006-08-31 |
1417994500 | Richard Shane Coltrain | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
Find all providers in zip 27834 |
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 |
---|---|---|---|---|
1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
1770913204 | Pro Foot Solutions, LLC | Prosthetic/Orthotic Supplier | 403 Cedar Pines Dr, Greenville, SC 29615-6242 | 2013-11-19 |
1598006108 | For Every Woman, LLC | Prosthetic/Orthotic Supplier | 90 Orchard Park Dr, Greenville, SC 29615-3567 | 2013-03-06 |
1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
1679712137 | Jerry W O'neal | Prosthetic/Orthotic Supplier | 40 Lanneau Dr, Suite 2a, 1990 Augusta Street, Greenville, SC 29605-1708 | 2009-02-06 |
1306091319 | Rick F Gagliano | Prosthetic/Orthotic Supplier | 2500 West 5th Street, Carolina Ortho Prosthetics Inc, Greenville, NC 27834-7812 | 2008-11-19 |
1285890574 | Anderson Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 440 Roper Mt Rd, Suite G-2, Greenville, SC 29615-4242 | 2008-08-06 |
1609094598 | David F Collins | Prosthetic/Orthotic Supplier | 657 S Memorial Dr, Greenville, NC 27834-2856 | 2007-04-23 |
1629120688 | Amgf Inc | Prosthetic/Orthotic Supplier | 940 Grove Rd # A, Greenville, SC 29605-4215 | 2007-01-18 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 27834 |
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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.