Stubbs Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

STUBBS PROSTHETICS & ORTHOTICS, INC.

Practice address

1213 Broadrick Dr
Dalton, GA 30720-2504

Phone

(706) 259-4563

Fax

(706) 259-4775

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

William Mark Stubbs, CPO

Title

Ceo

Phone

(423) 698-1778

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Stubbs Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1053395780

  7911023601

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Stubbs Prosthetics Orthotics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Stubbs Prosthetics & Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1417055732
  NPD tax ID
• Stubbs Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1053395780
  NPD tax ID

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1881678522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 UPTAIN RD STE 5800",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115655",
            "telephone_number": "423-698-1778",
            "fax_number": "423-698-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202504",
            "telephone_number": "706-259-4563",
            "fax_number": "706-259-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUBBS PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-698-1778",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3541423",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "483452058B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3141176",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Martin Strauss, M.D.
• Elton Strickland, M.D.
• Joy Strickland, PHARM.D.
• Meghan Strom, CCC-SLP
• Elizabeth M Stropnicky, M.D.
• Wesley Mabry Stuckey, M.D.
• John Sucher, M.D.
• Misty Meshell Suddeth, FNP-L
• Kailyn Sullivan, PTA
• Alexandria Macy Summerfield, PHARM.D.

• Prosthetic/Orthotic Supplier in Dalton, GA
• Providers in Dalton, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.