LANDRA PROSTHETICS AND ORTHOTICS, INC (NPI# 1952640930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952640930 |
Entity Type | Organization |
Organization Name | LANDRA PROSTHETICS AND ORTHOTICS, INC |
Other Organization Name | LANDRA PROSTHETICS & ORTHOTICS |
Practice Address |
29840 Harper Ave Saint Clair Shores MI 48082-2608 |
Mailing Address |
Po Box 34 Trenton MI 48183-0034 |
Practice Telephone | 5862947188 |
Practice Fax Number | 5862947196 |
Mailing Telephone | 7342818144 |
Mailing Fax Number | 7342811258 |
Enumeration Date | 2013-02-11 |
Last Update Date | 2013-02-11 |
Authorized Official Name | MR. STEVEN JAMES LANDRA (PRESIDENT) |
Authorized Official Telephone | 7342818144 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
LANDRA PROSTHETICS & ORTHOTICS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487892436 | Landra Prosthetics and Orthotics, Inc | Durable Medical Equipment & Medical Supplies | 526 N Telegraph Rd, Monroe, MI 48162-3337 | 2009-01-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LANDRA PROSTHETICS AND ORTHOTICS, INC. | 14725 Northline Rd, Southgate, MI 48195-2407 |
Street Address |
29840 HARPER AVE |
City | SAINT CLAIR SHORES |
State | MI |
Zip Code | 48082-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730204181 | Raymond J Farrar | Podiatrist | 29840 Harper Ave, Saint Clair Shores, MI 48082-2608 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932416476 | Maryam Torab Parhiz | Dentist | 31118 Harper Ave, St.clair Shores, MI 48082 | 2010-09-03 |
1558519314 | Sandra J. Glovak | Occupational Therapist | 30801 Jefferson Ave., St. Clair Shores, MI 48082 | 2008-09-05 |
1750597498 | Philip Salvatore Badalamenti | Dentist | 29810 Harper Ave, St Clair Shores, MI 48082 | 2007-05-16 |
1710025499 | Camilo Machado | Dentist | 31315 Harper Avenuw, St. Clair Shores, MI 48082 | 2007-02-02 |
1427126457 | Daniel M Hull | Dentist | 31549 Harper, Saint Clair Shores, MI 48082 | 2006-11-30 |
1679662860 | Peter Leone | Dentist | 30140 Harper Ave, Suite 200, Saint Clair Shores, MI 48082 | 2006-10-12 |
1417063371 | Vincent James Alongi | Dentist | 30140 Harper Suite 100, St Clair Shores, MI 48082 | 2006-08-22 |
1598721060 | Ilse Karger | Dentist | 29850 Harper, St Clair Shores, MI 48082 | 2006-04-25 |
1093714081 | Brian Anthony Arnold | Chiropractor | 31930 Harper Ave, Saint Clair Shores, MI 48082 | 2005-07-20 |
1619469905 | Bryan Lazzarin | Optometrist | 30120 Harper Ave, Saint Clair Shores, MI 48082 | 2018-06-01 |
Find all providers in zip 48082 |
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 |
---|---|---|---|---|
1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
Find all providers with the same taxonomy |
City | SAINT CLAIR SHORES |
Zip Code | 48082 |
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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.