Fourroux Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FOURROUX PROSTHETICS, INC

Doing business as

Fourroux Prosthetics

Practice address

5209 Linbar Dr Ste 603
Nashville, TN 37211-1027

Phone

(615) 471-4383

Fax

(800) 963-5010

NPI assigned

Feb 21, 2014

Organization subpart

Yes

Parent organization

FOURROUX PROSTHETICS, INCAs reported in NPPES

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

Authorized official

Name

Mr. W Keith Watson, CPO

Title

Owner/President

Phone

(256) 534-8672

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Fourroux Prosthetics Doing business as
• Fourroux Orthotics & Prosthetics, Inc. Former legal business name

Part of

Fourroux Brace Shoe C

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fourroux Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Memphis, TN
  • NPI 1386788636
  NPPES parent name

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1558786905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054103",
            "telephone_number": "256-534-8672",
            "fax_number": "800-963-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 LINBAR DR STE 603",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372111027",
            "telephone_number": "615-471-4383",
            "fax_number": "800-963-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURROUX PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOURROUX PROSTHETICS, INC",
        "enumeration_date": "2014-02-21",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "256-534-8672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "6192613",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q050007",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourroux Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fourroux Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fourroux Orthotics & Prosthetics, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Foundation Behavioral Health
• Fountain Springs Healthcare Corp
• Melinda Fountain
• Gwendolyn Fourman, NONE
• Caroline Fournier
• Macy G Fouse
• Alexandra Marie Foust, D.O.
• Lindsey Foutch
• Amy Fowler, LPC-MHSP(TEMP)
• Autumn A Fowler, RN

• Prosthetic/Orthotic Supplier in Nashville, TN
• Providers in Nashville, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.