COBB PROSTHETICS, LLC (NPI# 1881794675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881794675 |
Entity Type | Organization |
Organization Name | COBB PROSTHETICS, LLC |
Practice Address |
833 Weber Rd. Farmington MO 63640 |
Practice Telephone | 5737600520 |
Practice Fax Number | 5737600530 |
Mailing Telephone | 5737600520 |
Mailing Fax Number | 5737600530 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2007-12-14 |
Authorized Official Name | MR. MATTHEW D. COBB (OWNER/CERTIFIED PROSTHETIST) |
Authorized Official Telephone | 5737600520 |
Authorized Official Credential | CP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | CP2633 | MO | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COBB PROSTHETICS, LLC | 833 Weber Rd, Farmington, MO 63640-3320 |
Street Address |
833 WEBER RD. |
City | FARMINGTON |
State | MO |
Zip Code | 63640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
Find all providers in zip 63640 |
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 |
---|---|---|---|---|
1437398377 | Cape Prosthetics-orthotics, Inc | Prosthetic/Orthotic Supplier | 728 Sunset Dr, Farmington, MO 63640-1988 | 2009-02-17 |
1558581603 | Rocky Mountain Artificial Limb and Brace Inc | Prosthetic/Orthotic Supplier | 307 S Lake St, Farmington, NM 87401-5619 | 2007-04-30 |
1396756987 | Four Corners Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 750 W Animas St, Farmington, NM 87401-5617 | 2006-08-10 |
1780600171 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 600 Westfarms Mall, Farmington, CT 06032-2635 | 2006-07-15 |
1942861190 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 1155 Hazel Ln, Farmington, MO 63640-1920 | 2019-06-27 |
1851849665 | Arrow Prescription Center #15 | Prosthetic/Orthotic Supplier | 263 Farmington Ave, 1st Floor, Farmington, CT 06032-1956 | 2016-09-21 |
1730359811 | The Leona Corp | Prosthetic/Orthotic Supplier | 270 Farmington Ave, Suite 103, Farmington, CT 06032-1909 | 2008-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
Find all providers with the same taxonomy |
City | FARMINGTON |
Zip Code | 63640 |
Please comment or provide details below to improve the information on COBB PROSTHETICS, LLC.
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.