COUNTRY COBBLER, LTD. (NPI# 1962758714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962758714 |
| Entity Type | Organization |
| Organization Name | COUNTRY COBBLER, LTD. |
| Practice Address |
1001 Airport Blvd Suite 125 Morrisville NC 27560-8935 |
| Practice Telephone | 9193199799 |
| Practice Fax Number | 9193198985 |
| Mailing Telephone | 9193199799 |
| Mailing Fax Number | 9193198985 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | MR. MONTY K. MONTEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9107729994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 00992 | NC | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255681797 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 6815 Fayetteville Road, #102, Durham, NC 27713-7081 | 2012-09-12 |
| 1821344706 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 255 N Equity Dr Ste A, Smithfield, NC 27577-6054 | 2012-07-30 |
| 1780646653 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 3501 Oleander Dr, Suite 11, Wilmington, NC 28403-0824 | 2006-04-05 |
| Street Address |
1001 AIRPORT BLVD SUITE 125 |
| City | MORRISVILLE |
| State | NC |
| Zip Code | 27560-8935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196214 | Ginger Sweeney Pearcy | Massage Therapist | 6404 Mccrimmon Parkway, Suite 230, Morrisville, NC 27560 | 2018-12-31 |
| 1073006144 | Wake Toxicology Laboratory LLC | Clinical Medical Laboratory | 112 Nova Dr, Morrisville, NC 27560 | 2018-06-12 |
| 1689118713 | Elizabeth Lee Morefield | Social Worker | Unc Physician Network -chatham Medical Specialists, 2000 Perimeter Park Drive Suite 200, Morrisville, NC 27560 | 2016-12-08 |
| 1316394471 | Daniel Wolverton | Pharmacist | 1025 Think Pl Ste 460, Morrisville, NC 27560 | 2016-05-18 |
| 1669874756 | Bejal Patel | Pharmacist | 3560 Davis Drive, Morrisville, NC 27560 | 2014-09-19 |
| 1679982409 | Apollo Lin | Pharmacist | 1001 Shiloh Glenn Drive, Morrisville, NC 27560 | 2014-08-06 |
| 1063834877 | Julie Jesiolowski | Genetic Counselor, MS | 7010 Kit Creek Road, Morrisville, NC 27560 | 2014-01-14 |
| 1053637652 | Blake E Livingood | Chiropractor | 1901 Nw Cary Pkwy Ste 111, Morrisville, NC 27560 | 2010-04-08 |
| 1679709752 | Karen Rose Stellpflug | Internal Medicine | 3900 South Paramount Parkway, Morrisville, NC 27560 | 2009-06-03 |
| 1881829323 | Clear Vision Exams Optometric | Optometrist | 1101 Shiloh Glenn Drive, Morrisville, NC 27560 | 2009-05-28 |
| Find all providers in zip 27560 | ||||
| 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 |
|---|---|---|---|---|
| 1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1528666195 | Skyland Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 | 2020-10-15 |
| 1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
| 1841819711 | Sc&f Enterprises, LLC | Prosthetic/Orthotic Supplier | 2187 Skibo Rd, Fayetteville, NC 28314-0264 | 2020-04-10 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1871125237 | Elite Hair Replacement Inc | Prosthetic/Orthotic Supplier | 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | MORRISVILLE |
| Zip Code | 27560 |
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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.