O & P Clinical Technologies, Inc., NPI 1801195540
Prosthetic/Orthotic Supplier in Chattanooga, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1801195540
NPI Entity Type Organization
Provider Name O & P Clinical Technologies, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5959 Shallowford Rd Ste 215, Chattanooga, TN, US
Provider Mailing Address 5959 Shallowford Rd Ste 215, Chattanooga, TN, US, 374212215
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. LPO, CPO, FAAOP Paul E Prusakowski
Official Position PRESIDENT/CEO
Phone 352-331-4221

Primary Taxonomy

Taxonomy Code

335E00000X

Taxonomy Name Prosthetic/Orthotic Supplier
Classification

Prosthetic/Orthotic Supplier

Group

Suppliers

License No. 100
License State TN
Description 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.

Other Organization Name

Pinnacle Orthotic & Prosthetic Services
Doing Business As

Business Address

O & P Clinical Technologies, Inc.
5959 Shallowford Rd Ste 215

Chattanooga, TN, US

Phone: 423-648-4898
Fax: 423-499-4979

Mailing Address

O & P Clinical Technologies, Inc.
5959 Shallowford Rd Ste 215
Chattanooga, TN, US
ZIP 374212215
Phone: 423-648-4898
Fax: 423-499-4979

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

000053 GA No

332BC3200X

Suppliers

Durable Medical Equipment & Medical Supplies

121 TN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1524374 TN MEDICAID 05
75VX6 CAGE 01
034877323 DUNS 01

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

Individual

Critical Care Medicine Registered Nurse

315 Hospital Dr

Madison, TN

1144944927

PHARMD Rebecca Brittany Clegg

Individual

Pharmacist

1430 S Roan St

Johnson City, TN

1538605498

Christopher Byrd

Individual

Pharmacist

4221 Maynardville Hwy

Maynardville, TN

1154882843

MD Shalacia Palmer Leblanc

Individual

Family Medicine Physician

3400 Lebanon Rd

Murfreesboro, TN

1306575014

DR. DNP, CRNA Mark Timothy Cresap

Individual

Certified Registered Nurse Anesthetist

7357 Lucky Clover Ln

Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

Foot & Ankle Surgery Podiatrist

1109 E Reelfoot Ave Ste D

Union City, TN

1154053643

CCC-SLP Azjah Watson

Individual

Speech-Language Pathologist

70 Timber Creek Dr

Cordova, TN

1841915113

MS. DNP Ala'a Mitoubsi

Individual

Nurse Practitioner

1926 Alcoa Hwy

Knoxville, TN

1215652680

NEMT Olivia Williams

Individual

Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

Individual

Behavior Technician

2740 Saint Andrews Dr

Murfreesboro, TN

1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

Behavior Technician

1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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