Innovative Prosthetics LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

INNOVATIVE PROSTHETICS LLC

Practice address

121B Professional LN
Pawleys Island, SC 29585-7878

Phone

(843) 314-3148

Fax

(843) 314-0939

NPI assigned

Jan 17, 2023

Last updated

Jan 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Wesley Haygood, CPNPI 1689387284

Title

Owner

Phone

(803) 917-5811

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Wesley Haygood

  • Durable Medical Equipment & Medical Supplies
  • Pawley's Island, SC
  • NPI 1689387284
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1063127702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121B PROFESSIONAL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857878",
            "telephone_number": "843-314-3148",
            "fax_number": "843-314-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121B PROFESSIONAL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857878",
            "telephone_number": "843-314-3148",
            "fax_number": "843-314-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "HAYGOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-917-5811",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric R Hyer, PT
• John Dewey Hynes, M.D.
• John K Ijem, M.D.
• Jennifer Leigh Ingram, COTA/L
• Inlet Cardiopulmonary & Associates, PA
• Integrity in-Home Care LLC
• Integrity in-Home Care LLC
• Island Breeze Chiropractic Inc
• Island Counseling and Behavioral Services
• Island Family Care

• Customized Equipment (DME) in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.