MR. MITCHEL EARL PRESLEY JR. (NPI# 1952483844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952483844 |
| Entity Type | Individual |
| Full Name | MR. MITCHEL EARL PRESLEY JR. |
| Credential | L.P.O. |
| Practice Address |
4800 Ne Stallings Dr Suite 1600 Nacogdoches TX 75965-1249 |
| Mailing Address |
140 Dallas St Nacogdoches TX 75965-1959 |
| Practice Telephone | 9366223832 |
| Practice Fax Number | 9366223851 |
| Mailing Telephone | 9366223850 |
| Mailing Fax Number | 9366223851 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 55 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255420527 | Mitchel Presley Sr. | Specialist/Technologist, Other | 11417 Smallwood Dr, Burleson, TX 76028-6948 | 2006-10-12 |
| Street Address |
4800 NE STALLINGS DR SUITE 1600 |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419212 | Arthur L Speck | Urology | 4800 Ne Stallings Dr, Suite 114, Nacogdoches, TX 75965-1249 | 2005-12-29 |
| 1528518974 | Nacogdoches Health Partners, Pllc | Family Medicine | 4800 Ne Stallings Dr, Ste 109, Nacogdoches, TX 75965-1250 | 2016-10-10 |
| 1720538093 | Jamie Cook | Nurse Practitioner | 4800 Ne Stallings Dr, Suite 1500, Nacogdoches, TX 75965-1249 | 2016-10-10 |
| 1649724071 | Lindsay A Aldrich Md Pa | Family Medicine | 4800 Ne Stallings Dr, Suit 109, Nacogdoches, TX 75965-1249 | 2016-08-15 |
| 1033587456 | Pineywoods Heart, Pllc | Internal Medicine | 4800 Ne Stallings Dr, Suite 115, Nacogdoches, TX 75965-1249 | 2015-09-02 |
| 1598102493 | Lindsay Aldrich | Family Medicine | 4800 Ne Stallings Dr, Ste 09, Nacogdoches, TX 75965-1249 | 2013-05-31 |
| 1750608832 | Eddy Furniss, Md, Pa | Family Medicine | 4800 Ne Stallings Dr, Suite 115, Nacogdoches, TX 75965-1249 | 2010-04-28 |
| 1699901033 | Matthew Carroll Parker | Family Medicine | 4800 Ne Stallings Dr, Suite 111, Nacogdoches, TX 75965-1249 | 2009-05-29 |
| 1730348103 | Hannah Grubb Deppisch | Internal Medicine | 4800 Ne Stallings Dr, Suite 115, Nacogdoches, TX 75965-1250 | 2008-06-02 |
| 1336329457 | James R. Young Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4800 Ne Stallings Dr, Suite 1600, Nacogdoches, TX 75965-1249 | 2007-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] 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 |
|---|---|---|---|---|
| 1427521871 | Rhonda Marie Mahan | Orthotic Fitter | 3229 Patrick Pl, Midland, TX 79705-2326 | 2019-01-08 |
| 1992214670 | Jacob Bradford | Orthotic Fitter | 3209 Courtyard Dr Ste L, Midland, TX 79705-3276 | 2017-09-25 |
| 1942725585 | Mahmood Syed Ghori | Orthotic Fitter | 110 Broadway St Ste 110, San Antonio, TX 78205-1912 | 2017-08-04 |
| 1821353152 | Shawn Rice | Orthotic Fitter | 5510 Gail Dr, Beaumont, TX 77708-2908 | 2012-07-12 |
| 1548493596 | Lisa M Luna | Orthotic Fitter | 510 W I 30 Ste 213, Garland, TX 75043-5728 | 2009-08-25 |
| 1982838496 | Robert Michael Super | Orthotic Fitter | 1255 W 15th St Ste 540, Plano, TX 75075-7248 | 2009-05-12 |
| 1225207822 | Terry Valentine | Orthotic Fitter | 7110 Wurzbach Rd, Apt 403, San Antonio, TX 78240-4821 | 2008-02-27 |
| 1841333911 | Karlheinz Reichl | Orthotic Fitter | 517 Peanut Dr, Temple, TX 76502-5300 | 2007-02-15 |
| 1952454233 | David J. Greenway | Orthotic Fitter | 1100 W Cannon St, Fort Worth, TX 76104-2934 | 2007-01-19 |
| 1417010414 | Jo Denton Smith | Orthotic Fitter | 311 Dodson Avenue, Midland, TX 79701-6334 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.