AKBK (NPI# 1902993124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902993124 |
| Entity Type | Organization |
| Organization Name | AKBK |
| Other Organization Name | CROCKETT PROSTHETICS & ORTHOTICS |
| Practice Address |
10932 Murdock Dr Suite 105a Knoxville TN 37932-3239 |
| Mailing Address |
4503 Walker Blvd Knoxville TN 37917-1526 |
| Practice Telephone | 8656752873 |
| Practice Fax Number | 8656752879 |
| Mailing Telephone | 8656882626 |
| Mailing Fax Number | 8656883647 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | MR. PETER PAUL KOSLOSKI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8656882626 |
| Authorized Official Credential | CPO,FAAOP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 86519 | 01 |
| TN | 3555750 | 05 |
| Other Name | Type Code |
|---|---|
| CROCKETT PROSTHETICS & ORTHOTICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083727358 | Akbk | Prosthetic/Orthotic Supplier | 4503 Walker Blvd, Knoxville, TN 37917-1526 | 2006-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AKBKMM, LLC | 17426 Bothell Way Ne Unit A305, Bothell, WA 98011-1951 |
| Street Address |
10932 MURDOCK DR SUITE 105A |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37932-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437570116 | Medical Services of America Inc | Emergency Response System Companies | 10932 Murdock Dr, Ste A105, Knoxville, TN 37932-3239 | 2013-12-23 |
| 1124322920 | Get Well Clinic Knoxville | Preventive Medicine | 10932 Murdock Dr, Suite 101-b, Knoxville, TN 37932-3239 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935589 | Jazmin Lowe | Nurse Practitioner | 9711 Sherrill Blvd Ste 201, Knoxville, TN 37932 | 2018-03-13 |
| 1619498649 | Brittney Danyelle Trent | Occupational Therapist | 120 Cavette Hill Lane, Farragut, TN 37932 | 2017-06-29 |
| 1891222634 | William M. Hogan, Md, Pllc | Psychiatry & Neurology | 1432 Hickey Road, Knoxville, TN 37932 | 2017-05-11 |
| 1487006193 | Cheryl Ann Williams | Occupational Therapist | 13029 George Lovelace Lane, Knoxville, TN 37932 | 2016-07-06 |
| 1760876627 | Institute for Female Pelvic Medicine,pllc | Urology | 10133 Sherrill Blvd Suite 100, Century Park, Knoxville, TN 37932 | 2015-03-27 |
| 1669877965 | Melissa Raymond | Nurse Practitioner | 550 Frank Gardner Lane, Knoxville, TN 37932 | 2014-10-29 |
| 1811186059 | Mia J Guillory | Optometrist | 10841 Hardin Valley Rd, Knoxville, TN 37932 | 2007-10-23 |
| 1427264555 | Amy Hill Shugart | Physical Therapist | 10710 Murdock Dr Ste 102, Knoxville, TN 37932 | 2007-05-15 |
| 1871626895 | East Tennessee Emg, Inc. | Physical Therapist | 614 Mabry Hood Road, Suite #301, Knoxville, TN 37932 | 2007-03-13 |
| 1083773584 | Summit View Health Management, Inc. | Durable Medical Equipment & Medical Supplies | 10805 Harding Dr., Knoxville, TN 37932 | 2006-12-08 |
| Find all providers in zip 37932 | ||||
| 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 |
|---|---|---|---|---|
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1437692548 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 9051 Executive Park Dr Ste 100, Knoxville, TN 37923-4651 | 2016-11-21 |
| 1083985014 | Paul Gary Lakins Ah-mazing Orthotics | Prosthetic/Orthotic Supplier | 151 Sherway Rd Ste 2, Knoxville, TN 37922-2236 | 2012-01-23 |
| 1770760654 | Betty's Boutique | Prosthetic/Orthotic Supplier | 414 Overhill Rd, Knoxville, TN 37914-4328 | 2008-01-23 |
| 1073680591 | Regina Nannette Cox | Prosthetic/Orthotic Supplier | 6618 Bay Circle Dr, Knoxville, TN 37918-9109 | 2006-11-29 |
| 1306933130 | Specialty Medical | Prosthetic/Orthotic Supplier | 7815 B Oak Ridge Hwy, Knoxville, TN 37931-2314 | 2006-10-05 |
| 1083727358 | Akbk | Prosthetic/Orthotic Supplier | 4503 Walker Blvd, Knoxville, TN 37917-1526 | 2006-08-17 |
| 1932640992 | Fredrick M Avery | Prosthetic/Orthotic Supplier | 2900 Sutherland Ave, Knoxville, TN 37919-4536 | 2017-03-10 |
| Find all providers in KNOXVILLE | ||||
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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.