PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC (NPI# 1871840447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871840447 |
| Entity Type | Organization |
| Organization Name | PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC |
| Other Organization Name | PRESQUE ISLE MEDICAL TECHNOLOGIES |
| Practice Address |
2101 Richmond Rd Ste 1000 Beachwood OH 44122-1391 |
| Mailing Address |
2524 Claver Rd University Ht OH 44118-4645 |
| Practice Telephone | 2163710660 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | MR. SOLOMON HEIFETZ (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2163710660 |
| 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 | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0084932 | 05 | |
| MD | 0860433-00 | 05 |
| Other Name | Type Code |
|---|---|
| Presque Isle Medical Technologies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912307992 | Presque Isle Orthotics and Prosthetics of Ohio, LLC | Prosthetic/Orthotic Supplier | 3700 Oakton St Ste 103, Skokie, IL 60076-3407 | 2014-08-27 |
| 1669713467 | Presque Isle Orthotics and Prosthetics of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 718 Horton Dr, Silver Spring, MD 20902-3009 | 2013-03-05 |
| Street Address |
2101 RICHMOND RD STE 1000 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| 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 |
|---|---|---|---|---|
| 1891720371 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 26200 Cedar Rd, Beachwood, OH 44122-1155 | 2006-07-12 |
| 1033383880 | Advanced Hair Centers | Prosthetic/Orthotic Supplier | 24800 Chagrin Blvd, Ste 212, Beachwood, OH 44122-5648 | 2008-04-14 |
| 1003961731 | University Primary Care Practices | Prosthetic/Orthotic Supplier | 3909 Orange Pl Ste 4600, Beachwood, OH 44122-8400 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277323 | Diamond Laced Medical Wigs | Prosthetic/Orthotic Supplier | 7373 Brookcrest Dr, Cincinnati, OH 45237-3446 | 2020-05-27 |
| 1689296022 | Glitterati Luxury Virgin Hair Bar | Prosthetic/Orthotic Supplier | 4786 Dressler Rd Nw # 128, Canton, OH 44718-2555 | 2020-05-07 |
| 1629601067 | Ann Marie Braydich | Prosthetic/Orthotic Supplier | 5527 Walnut Grove Cir, Struthers, OH 44471-3116 | 2020-02-13 |
| 1124661491 | John Keenan | Prosthetic/Orthotic Supplier | 11075 Westborough Rd, Parma Heights, OH 44130-3014 | 2019-10-19 |
| 1255985404 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 17900 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-3437 | 2019-07-26 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1851864953 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 500 E Main St Ste 250, Columbus, OH 43215-5369 | 2019-01-10 |
| 1104399138 | American Orthopedics Inc | Prosthetic/Orthotic Supplier | 1459 Marion Waldo Rd Ste 230, Marion, OH 43302-7421 | 2019-01-02 |
| 1851867212 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 574 N State St Ste B, Westerville, OH 43082-6058 | 2018-10-23 |
| 1194291633 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 1210 Gemini Pl Ste 320, Columbus, OH 43240-6109 | 2018-10-23 |
| 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.