Fourroux Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FOURROUX PROSTHETICS, INC

Practice address

9665 Page Avenue
Overland, MO 63132

Phone

(314) 551-2341

Fax

(800) 963-5010

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Locations

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1962042440",
    "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": "9665 PAGE AVENUE",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-551-2341",
            "fax_number": "800-963-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURROUX PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Kristen E Evans, ANP
• Kyla Evans
• Edgar Everett III, D.C.
• Lisha Ewing, LPC
• Kendra Karmel Fitzgerald
• Christina Fox
• Kyla Fox
• Eden Fraser, RBT
• G.P. Consultants
• Takesha Sharice Gates

• Prosthetic/Orthotic Supplier in Overland, MO
• Providers in Overland, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.