VAN TRUMAN CLONTZ (NPI# 1962701011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962701011 |
| Entity Type | Individual |
| Full Name | VAN TRUMAN CLONTZ |
| Credential | CFTSOO32 |
| Practice Address |
301 W Meeting St Morganton NC 28655-3866 |
| Practice Telephone | 8284375800 |
| Practice Fax Number | 8284388755 |
| Mailing Telephone | 8284375800 |
| Mailing Fax Number | 8284388755 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225000000X | Orthotic Fitter | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
301 W MEETING ST |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253523 | Burke Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 301 W Meeting St, Morganton, NC 28655-3866 | 2006-04-11 |
| 1598262610 | Hpg of Tennessee, Inc. | Pharmacy | 301 W Meeting St, Morganton, NC 28655-3866 | 2018-04-06 |
| 1447795984 | Burke Pharmacy | Durable Medical Equipment & Medical Supplies | 301 W Meeting St, Morganton, NC 28655 | 2016-12-19 |
| 1720443773 | Burke Pharmacy Inc | Pharmacy | 301 W Meeting St, Morganton, NC 28655-3866 | 2015-12-17 |
| 1477918423 | Burke Pharmacy Inc | Pharmacy | 301 W Meeting St, Morganton, NC 28655-3866 | 2015-12-17 |
| 1265870638 | Charlotte Ridgeway Watson | Pharmacist | 301 W Meeting St, Morganton, NC 28655-3866 | 2013-06-07 |
| 1619269016 | Burke Pharmacy | Durable Medical Equipment & Medical Supplies | 301 W Meeting St, Morganton, NC 28655-3866 | 2011-05-04 |
| 1215256326 | Burke Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 301 W Meeting St, Morganton, NC 28655-3866 | 2010-05-28 |
| 1467780387 | Burke Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 301 W Meeting St, Morganton, NC 28655-3866 | 2009-12-04 |
| 1750534335 | Howard I Duckworth Jr. | Pharmacist | 301 W Meeting St, Morganton, NC 28655-3866 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| 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 |
|---|---|---|---|---|
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| 1710251517 | John F Bachman | Orthotic Fitter | 3540 Clemmons Road, Suite 124, Clemmons, NC 27012-9396 | 2012-02-27 |
| Find all providers with the same taxonomy | ||||
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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.