Akbk

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

AKBK

Doing business as

Crockett Prosthetics & Orthotics

Practice address

10932 Murdock Dr
Suite 105a
Knoxville, TN 37932-3239

Phone

(865) 675-2873

Fax

(865) 675-2879

NPI assigned

Oct 9, 2006

Last updated

Mar 20, 2012By 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

Mr. Peter Paul Kosloski, CPO,FAAOP

Title

Owner/President

Phone

(865) 688-2626

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CROCKETT PROSTHETICS & ORTHOTICS Doing business as

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1902993124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 WALKER BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171526",
            "telephone_number": "865-688-2626",
            "fax_number": "865-688-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10932 MURDOCK DR",
            "address_2": "SUITE 105A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323239",
            "telephone_number": "865-675-2873",
            "fax_number": "865-675-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKBK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "KOSLOSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-688-2626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO,FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86519",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3555750",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROCKETT PROSTHETICS & ORTHOTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carey Aiossa
• Anita Airee, PHARMD
• Rasmi Ajit, MD
• Mary Alison Akard, RNC MSN WHNP APN
• Akbk
• Carol A. Akerman, DPM
• David Arnold Akers
• Donald Lea Akers Jr., M.D.
• Kindal Brooke Akers, LPC-MHSP
• Syed M Akhter, M.D.

• Prosthetic/Orthotic Supplier in Knoxville, TN
• Providers in Knoxville, 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 Mar 20, 2012; 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.