PENNLEE FOOTWEAR (NPI# 1891080230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891080230 |
| Entity Type | Organization |
| Organization Name | PENNLEE FOOTWEAR |
| Practice Address |
163 E Main St Wilkes Barre PA 18705-2813 |
| Practice Telephone | 5008255346 |
| Practice Fax Number | 5708251491 |
| Mailing Telephone | 5008255346 |
| Mailing Fax Number | 5708251491 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | MR. STANLEY J ZUREK (OWNER) |
| Authorized Official Telephone | 5708255346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
163 E MAIN ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18705-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
| Find all providers in zip 18705 | ||||
| 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 |
|---|---|---|---|---|
| 1164621926 | Instride Ventures LLC | Prosthetic/Orthotic Supplier | 100 N Wilkes Barre Blvd, 4th Floor, Wilkes Barre, PA 18702-5253 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041030 | Lawall At Hershey, Inc | Prosthetic/Orthotic Supplier | 2020 Good Hope Rd Lawall At Hershey Inc, Suite 220, 2nd Floor, Enola, PA 17025-1237 | 2020-10-22 |
| 1518573435 | Harry J. Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 21 N Main St,harry J. Lawall & Son, Inc, Suite 3, Coopersburg, PA 18036-1561 | 2020-09-16 |
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1003438177 | Tosi's Hair Replacement Clinic, Inc. | Prosthetic/Orthotic Supplier | 390 Slocum Ave, Exeter, PA 18643-1194 | 2020-05-12 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1164055620 | Hanger Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 20421 Route 19 Ste 100, Cranberry Township, PA 16066-7514 | 2020-02-12 |
| 1730711193 | Lvhn Scranton Orthopedic Specialists | Prosthetic/Orthotic Supplier | 334 Main St Ste 2, Dickson City, PA 18519-1668 | 2020-02-04 |
| 1528607223 | Agape Traders | Prosthetic/Orthotic Supplier | 562 Independence Rd Ste 142, East Stroudsburg, PA 18301-9702 | 2019-12-27 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1174172647 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 250 Cetronia Rd Ste 306, Allentown, PA 18104-9168 | 2019-09-08 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18705 |
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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.