CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC (NPI# 1972747855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972747855 |
| Entity Type | Organization |
| Organization Name | CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC |
| Practice Address |
285 Meeting St Charleston SC 29401-1550 |
| Mailing Address |
11945 Grandhaven Dr Murrells Inlet SC 29576-8091 |
| Practice Telephone | 8435779577 |
| Practice Fax Number | 8435779574 |
| Mailing Telephone | 8436515347 |
| Mailing Fax Number | 8436513451 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | C. RALPH HOOPER JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 8435779577 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE2909 | 05 |
| Street Address |
285 MEETING ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| 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 |
|---|---|---|---|---|
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1306350426 | Musc Prosthetic Orthotic Services LLC | Prosthetic/Orthotic Supplier | 135 Rutledge Ave Fl 4, Charleston, SC 29425-8903 | 2017-11-28 |
| 1669893624 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1331 Ashley River Rd Bldg C, Charleston, SC 29407-5315 | 2013-12-18 |
| 1174848485 | Mcgrew Orthopedic, LLC | Prosthetic/Orthotic Supplier | 1301 Washington Street W, Charleston, WV 25302-1909 | 2010-03-30 |
| 1982884433 | Lehotay Prosthetics, LLC | Prosthetic/Orthotic Supplier | 624 Central Ave, Charleston, WV 25302-1912 | 2007-11-13 |
| 1548454242 | C Howell Shoes Inc | Prosthetic/Orthotic Supplier | 1755 Sam Rittenberg Blvd, Charleston, SC 29407-4927 | 2007-09-05 |
| 1770774895 | Adaptive Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1033 Wappoo Rd, Suite E, Charleston, SC 29407-6087 | 2007-08-05 |
| 1649203670 | Charleston Orthopedic Appliances Inc | Prosthetic/Orthotic Supplier | 1532 Kanawha Blvd W, Charleston, WV 25312-2533 | 2006-07-10 |
| 1639124423 | Mountain State Prosthetics, LLC | Prosthetic/Orthotic Supplier | 216 Brooks St, Suite 100, Charleston, WV 25301-1828 | 2006-05-23 |
| 1811968720 | Active Mobility, LLC | Prosthetic/Orthotic Supplier | 18 Leinbach Dr, Unit E, Charleston, SC 29407-7916 | 2006-01-30 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
Please comment or provide details below to improve the information on CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC.
| 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.