Active NPI
Maurice Syntel Byrd
- Orthotic Fitter
- Savannah, GA
National Provider Identifier
1710133475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 4395 Ogeechee Rd
Ste 209
Savannah, GA 31405-1249 - Phone
- (912) 655-5423
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Orthotic Fitter | 225000000X | Primary | ||
| Pedorthist | 224L00000X |
Addresses
Primary practice location
4395 Ogeechee Rd
Ste 209
Savannah, GA 31405-1249
Mailing address
125 Park of Commerce Dr
Ste 200
Savannah, GA 31405-7439
Phone (912) 238-8555
Other names 1
- Ms. Barbara J Wallace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mba Solutions | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Savannah, GA
- NPI 1962701557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1710133475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PARK OF COMMERCE DR",
"address_2": "STE 200",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314057439",
"telephone_number": "912-238-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4395 OGEECHEE RD",
"address_2": "STE 209",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314051249",
"telephone_number": "912-655-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "MAURICE",
"middle_name": "SYNTEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "WALLACE",
"middle_name": "J",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.