PREMIER SOURCE MEDICAL SUPPLY INC. (NPI# 1073746624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073746624 |
| Entity Type | Organization |
| Organization Name | PREMIER SOURCE MEDICAL SUPPLY INC. |
| Practice Address |
19 Ne 50th St Oklahoma City OK 73105-1807 |
| Practice Telephone | 4055700023 |
| Practice Fax Number | 8006939217 |
| Mailing Telephone | 4055700023 |
| Mailing Fax Number | 8006939217 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | BRYAN WILLIAM SCHONES (PRESIDENT) |
| Authorized Official Telephone | 4055700023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
19 NE 50TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412937 | Turn Key Health Clinicians LLC | Psychiatry & Neurology | 19 Ne 50th St, Oklahoma City, OK 73105-1807 | 2020-06-24 |
| 1063980423 | Jyoti Pandey | Nurse Practitioner | 19 Ne 50th St, Oklahoma City, OK 73105-1807 | 2018-11-04 |
| 1093228975 | A Premier Senior Home Care Acquisitions, LLC | Hospice Care, Community Based | 19 Ne 50th St, Oklahoma City, OK 73105-1807 | 2017-11-14 |
| 1790237386 | Holly Loreece Martin | Nurse Practitioner | 19 Ne 50th St, Oklahoma City, OK 73105-1807 | 2016-10-29 |
| 1295184190 | A Premier Senior Home Care Acquisitions, LLC | Home Health | 19 Ne 50th St, Oklahoma City, OK 73105-1807 | 2016-06-10 |
| 1689022618 | Absolute Senior Care Acquistions LLC | In Home Supportive Care | 19 Ne 50th St, Oklahoma City, OK 73105-1807 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1033755426 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103-2612 | 2019-11-21 |
| 1235775628 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13500 S Tulsa Dr Ste 301, Oklahoma City, OK 73170-9721 | 2019-11-21 |
| 1225674617 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3400 S Douglas Blvd Ste 302, Oklahoma City, OK 73150-1018 | 2019-11-21 |
| 1871140822 | Rs Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 8126 W Britton Rd Apt 1, Oklahoma City, OK 73132-1364 | 2019-08-23 |
| 1568015659 | Epic Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1033761366 | Dmeworx LLC | Durable Medical Equipment & Medical Supplies | 3114 Nw 42nd St, Oklahoma City, OK 73112-6224 | 2019-07-16 |
| 1144795634 | Rto Distributors, LLC | Durable Medical Equipment & Medical Supplies | 7725 W Reno Ave Ste 399, Oklahoma City, OK 73127-9712 | 2018-10-10 |
| 1801374822 | Ventilateok LLC | Durable Medical Equipment & Medical Supplies | 4401 Nw 4th St Ste 133, Oklahoma City, OK 73107-6540 | 2018-08-01 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.