EXCEL PROSTHETICS & ORTHOTICS, INC (NPI# 1992257745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992257745 |
| Entity Type | Organization |
| Organization Name | EXCEL PROSTHETICS & ORTHOTICS, INC |
| Practice Address |
121 E Ravine Rd Suite 400 Kingsport TN 37660 |
| Mailing Address |
115 Albemarle Ave Se Roanoke VA 24013-2205 |
| Practice Telephone | 4237327071 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | SETH WALTERS (COO) |
| Authorized Official Telephone | 5409820205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383956 | Excel Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 115 Albemarle Ave Se, Roanoke, VA 24013-2205 | 2005-06-01 |
| 1558715144 | Excel Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 1810 Harper Rd, Suite B, Beckley, WV 25801-3331 | 2016-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EXCEL PROSTHETICS & ORTHOTICS, INC. | 115 Albemarle Ave Se, Roanoke, VA 24013-2205 |
| Street Address |
121 E RAVINE RD SUITE 400 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991631 | Cynthia L Poortenga | Family Medicine | 121 E Ravine Rd, Ste 900, Kingsport, TN 37660-3800 | 2005-06-09 |
| 1235542085 | Kimberly S Nash | Emergency Medical Technician, Paramedic | 121 E Ravine Rd, Suite 200, Kingsport, TN 37660-3816 | 2014-06-10 |
| 1942611009 | Cephas Hiram Sloan IIi | Pharmacist | 121 E Ravine Rd, Ste. 100 (marcum's), Kingsport, TN 37660-3816 | 2014-05-12 |
| 1790122281 | Mary Catherine Marcum | Pharmacist | 121 E Ravine Rd, Suite 100, Kingsport, TN 37660-3816 | 2013-05-24 |
| 1902243496 | Colton N Marcum | Pharmacist | 121 E Ravine Rd, Suite 100, Kingsport, TN 37660-3816 | 2013-05-24 |
| 1639246101 | David H Franzus M D | Clinic/Center | 121 E Ravine Rd, Suite 700, Kingsport, TN 37660-3816 | 2006-11-29 |
| 1922171149 | Cynthia Poortenga, Md PC | Clinic/Center | 121 E Ravine Rd, Ste 900, Kingsport, TN 37660-3816 | 2006-11-16 |
| 1245315522 | Marcum's Pharmacy, Inc | Pharmacy | 121 E Ravine Rd, Kingsport, TN 37660-3816 | 2006-10-26 |
| 1023119047 | Donita L Presnell | Pharmacist | 121 E Ravine Rd, Kingsport, TN 37660-3816 | 2006-09-25 |
| 1922108687 | Donald H Stanfill | Pharmacist | 121 E Ravine Rd, Kingsport, TN 37660-3816 | 2006-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1841761947 | Mac's Medicine Mart Dba Unique Boutique | Prosthetic/Orthotic Supplier | 1455 E Center St Ste 2b, Kingsport, TN 37664-2501 | 2018-12-16 |
| 1023368180 | Achieve Bracing | Prosthetic/Orthotic Supplier | 1732 N Eastman Rd Ste 1a, Kingsport, TN 37664-2376 | 2012-09-17 |
| 1154653830 | Southern Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 1567 N Eastman Rd Ste 4, Kingsport, TN 37664-2680 | 2010-02-05 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1740373661 | Jason D Joyce | Prosthetic/Orthotic Supplier | 1567 N Eastman Rd, Suite 4, Kingsport, TN 37664-2683 | 2006-10-02 |
| 1528167509 | Custom Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 1567 North Eastman Rd, Ste 4, Kingsport, TN 37664-2680 | 2006-09-22 |
| 1982670964 | Appalachian Prosthetic & Orthotic Services, Inc | Prosthetic/Orthotic Supplier | 3551 E Stone Dr, Kingsport, TN 37660-7115 | 2006-02-28 |
| 1437563665 | Bristol Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 921 Broad St, Kingsport, TN 37660-3801 | 2014-06-16 |
| 1518238278 | Finer Things for Her | Prosthetic/Orthotic Supplier | 1880 N Eastman Rd, Suite 230, Kingsport, TN 37664-2312 | 2012-01-25 |
| 1891935763 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 2 Sheridan Sq, Suite 100, Kingsport, TN 37660 | 2009-03-04 |
| Find all providers in KINGSPORT | ||||
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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.