PREMIER PROSTHETICS AND ORTHOTICS NPI 1003045436

Prosthetic/Orthotic Supplier in Saint Louis, MO

NPI 1003045436 Organization Prosthetic/Orthotic Supplier Medicare Supplier Does Not Accept Medicare Approved Payment

About PREMIER PROSTHETICS AND ORTHOTICS

Premier Prosthetics And Orthotics is a provider established in Saint Louis, Missouri specializing in prosthetic/orthotic supplier. The NPI number of Premier Prosthetics And Orthotics is 1003045436 and was assigned on July 2009. The practitioner's primary taxonomy code is 335E00000X with license number B00326665 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Gregory Michael Doerr Cpo (Owner)

Premier Prosthetics And Orthotics is a medicare supplier with PTAN 6272640001 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

NPI

1003045436

Provider NamePREMIER PROSTHETICS AND ORTHOTICS
Provider Location Address343 S KIRKWOOD RD STE 200 SAINT LOUIS, MO 63122
Provider Mailing Address343 S KIRKWOOD RD STE 200 SAINT LOUIS, MO 63122
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-07-2009
Last Update Date10-26-2018


Primary Taxonomy

Taxonomy Code335E00000X
ClassificationProsthetic/Orthotic Supplier
TypeSuppliers
License No.B00326665
License StateMO
Taxonomy DescriptionAn 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.

Business Address

PREMIER PROSTHETICS AND ORTHOTICS
343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO
ZIP 63122
Phone: (314) 262-8900
Fax: (314) 743-3575

Get Directions


Mailing Address

PREMIER PROSTHETICS AND ORTHOTICS
343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO
ZIP 63122
Phone: (314) 262-8900
Fax: (314) 743-3575



Authorized Official

Authorized Official NameMR. GREGORY MICHAEL DOERR CPO
Authorized Official TitleOWNER
Authorized Official Phone(314) 262-8900

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN6272640001
Accepts Medicare AssignmentNO
Specialities ListOrthotic Personnel, Prosthetic Personnel.
Supplies List
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
Competitive BiddingNO

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699956433MRS. ANITA CANNADY
Individual
Community Health Worker343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 729-4006
1467770479 KRISTINA MARIE STEEN MSW
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1023323300 GABRIELE AYRES
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1063729119MS. SHANNON CHRISTINE PULTZ
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO 63122
(314) 206-3400
1114237328MS. DIONNE HENDERSON
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1144520008BJC BEHAVIORAL HEALTH
Organization
Case Management343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3912
1689973125MR. KYLE MICHAEL WOHLSCHLAEGER
Individual
Social Worker343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1821384348 EMILY KATHERINE WHITLOCK
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1952682627MR. JONATHAN A KRUEGER MA
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1710263520MRS. AZIZA N/A SIDDIQUI MSW
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO 63122
(314) 206-3443
1306105572MS. SARAH CHRISTINE METROPOULOS B.S
Individual
Community Health Worker343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3428
1205189891 MICHAEL ERLENBUSH
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1679827422 PRECIOUS GRIMES MA
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO 63122
(314) 206-3400
1578808531 TAMRA SUSAN FAUSS M.ED
Individual
Counselor (School)343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1902221856 AQUILLA DOVER
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1477972818 EMILY ELIZABETH ZAEGEL
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400
1780091504 MARIAN OGBULI
Individual
Social Worker343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3981
1447656038 ELISSA LANETHARP
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO 63122
(314) 807-8909
1538564968 HOLLEY WRIGHT
Individual
Case Manager/Care Coordinator343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
(314) 206-3400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.