APPALACHIAN ORTHOTIC & PROSTHETIC SERVICE INC (NPI# 1932106200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932106200 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN ORTHOTIC & PROSTHETIC SERVICE INC |
| Practice Address |
2900 Sutherland Ave Knoxville TN 37919-4536 |
| Practice Telephone | 8655242285 |
| Practice Fax Number | 8659715445 |
| Mailing Telephone | 8655242285 |
| Mailing Fax Number | 8659715445 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | MR. FREDRICK M AVERY (PRESIDENT) |
| Authorized Official Telephone | 8655242285 |
| Authorized Official Credential | CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS PROVIDER NUMBE | 92857 | 01 |
| TN | 3556162 | 05 |
| Street Address |
2900 SUTHERLAND AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932640992 | Fredrick M Avery | Prosthetic/Orthotic Supplier | 2900 Sutherland Ave, Knoxville, TN 37919-4536 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629164785 | Betty Sherrod | Specialist | 414 Overhill Road, Knoxville, TN 37914-4328 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964850 | Shaquela L Sanford | Specialist | 301 N Saint Marks Ave, Chattanooga, TN 37411-3435 | 2020-08-25 |
| 1982215778 | Bontaya Calvin | Specialist | 4305 Harvest Hill Rd, Memphis, TN 38141-6933 | 2020-08-14 |
| 1336767375 | Lakesha Polk | Specialist | 3584 Forrest Ave, Memphis, TN 38122-5123 | 2020-07-07 |
| 1073087078 | Sonya L Pipkins | Specialist | 1002 Chickasaw Trl, Columbia, TN 38401-2558 | 2019-01-14 |
| 1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
| 1235606179 | Felicity Domonick Howard | Specialist | 1168 Vickery Ln # 211, Cordova, TN 38016-1664 | 2018-10-29 |
| 1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1730678772 | Chasity Yvonne Jeffries | Specialist | 375 Vann Dr Ste B, Jackson, TN 38305-6027 | 2018-05-04 |
| 1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on APPALACHIAN ORTHOTIC & PROSTHETIC SERVICE INC.
| 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.