LANDRA PROSTHETICS AND ORTHOTICS, INC


Address: 29840 Harper Ave, Saint Clair Shores, MI 48082-2608
Phone: 5862947188

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
LANDRA PROSTHETICS & ORTHOTICS Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LANDRA PROSTHETICS AND ORTHOTICS, INC. 14725 Northline Rd, Southgate, MI 48195-2407

Office Location

Street Address 29840 HARPER AVE
City SAINT CLAIR SHORES
State MI
Zip Code 48082-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730204181 Raymond J Farrar Podiatrist 29840 Harper Ave, Saint Clair Shores, MI 48082-2608 2007-03-21

Providers in the same zip code

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 Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SAINT CLAIR SHORES
Zip Code 48082

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Dataset Information

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.

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