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Sidea McCord, Cranial prothesis

Prosthetist in New Port Richey, FL. Individual provider (NPI-1).

NPI number1265296271
StatusActive
Last updated in NPPESFeb 9, 2024

Details

NPI
1265296271
Entity type
Individual (NPI-1)
Name
Sidea McCord
Credential
Cranial prothesis
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 9, 2024
Certification date
Feb 9, 2024
Last updated
Feb 9, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X ProsthetistCO129097GAYes

Practice location

11806 White Ash Dr
New Port Richey, FL 34654-1938

Phone 678-815-3738

Mailing address

11806 White Ash Dr
New Port Richey, FL 34654-1938

Phone 678-815-3738

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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