NEXTREMITY PROSTHETIC DESIGN (NPI# 1861948242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861948242 |
| Entity Type | Organization |
| Organization Name | NEXTREMITY PROSTHETIC DESIGN |
| Practice Address |
4135 S Power Rd Ste 127 Mesa AZ 85212-3627 |
| Mailing Address |
4615 E Calistoga Dr Gilbert AZ 85297-7490 |
| Practice Telephone | 4807471885 |
| Mailing Telephone | 4807471885 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | MR. LORIN CHRISTOPHER MERKLEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4807471885 |
| Authorized Official Credential | C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEXTREMITY PROSTHETIC DESIGN LLC | 4135 S Power Rd Ste 127, Mesa, AZ 85212-3627 |
| Street Address |
4135 S POWER RD STE 127 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770938946 | Lorin Christopher Merkley | Prosthetist | 4135 S Power Rd Ste 127, Mesa, AZ 85212-3627 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| 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 |
|---|---|---|---|---|
| 1770938946 | Lorin Christopher Merkley | Prosthetist | 4135 S Power Rd Ste 127, Mesa, AZ 85212-3627 | 2016-04-25 |
| 1427317429 | Seth O'brien | Prosthetist | 2058 S Dobson Rd Ste 17, Mesa, AZ 85202 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020972 | Kaitlin Quan | Prosthetist | 1131 E Highland Ave, Phoenix, AZ 85014-3639 | 2020-07-16 |
| 1528620101 | Lisa Marie Bowers | Prosthetist | 3330 E Wahalla Ln, Phoenix, AZ 85050-7904 | 2019-07-03 |
| 1871017137 | Randall Scott Whiteside | Prosthetist | 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 | 2017-07-28 |
| 1316268485 | Gregory Talen | Prosthetist | 3173 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2010-06-11 |
| 1437302544 | Prosthetic Center LLC | Prosthetist | 8440 E. Mcdonald Drive, Prosthetic Center Suite B, Scottsdale, AZ 85250-8300 | 2008-11-03 |
| 1912092610 | Stephen Mitchell Mcnamee | Prosthetist | 4501 N 32nd St, Phoenix, AZ 85018-3339 | 2006-10-04 |
| 1841806262 | Anthony Berland | Prosthetist | 4445 N 7th St, Phoenix, AZ 85014-4139 | 2020-09-21 |
| 1609386853 | Randy Whiteside Prosthetics LLC | Prosthetist | 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 | 2017-10-02 |
| 1649424185 | Alan S Cota | Prosthetist | 3601 S 6th Avenue, Tucson Vamc, 05-121, Tucson, AZ 58723-0001 | 2008-11-11 |
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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.