MEMPHIS ORTHOPAEDIC MEDICAL SUPPLIES, LLC (NPI# 1215030796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215030796 |
| Entity Type | Organization |
| Organization Name | MEMPHIS ORTHOPAEDIC MEDICAL SUPPLIES, LLC |
| Other Organization Name | METRO ORTHOTICS |
| Practice Address |
701 East Reelfoot Avenue Suite 500 Union City TN 38261 |
| Mailing Address |
2809 Kirby Parkway Suite 105 Memphis TN 38119-8241 |
| Practice Telephone | 9018840284 |
| Practice Fax Number | 9018840281 |
| Mailing Telephone | 9017554344 |
| Mailing Fax Number | 9017554099 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GUY FRED WALLACE (PRESIDENT) |
| Authorized Official Telephone | 9017554344 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1452529 | 05 |
| Other Name | Type Code |
|---|---|
| Metro Orthotics | Doing Business As Name - Organization |
| Street Address |
701 EAST REELFOOT AVENUE SUITE 500 |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| 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 |
|---|---|---|---|---|
| 1457889867 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1313 W Reelfoot Ave Ste A, Union City, TN 38261-5552 | 2017-05-30 |
| 1043762511 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 700 Sherrill St Ste B, Union City, TN 38261-5891 | 2016-10-31 |
| 1609144377 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 3508 Kennedy Blvd, Union City, NJ 07087 | 2011-12-08 |
| 1952617466 | Pro Medquip | Durable Medical Equipment & Medical Supplies | 3601 Park Ave, Union City, NJ 07087-6005 | 2010-08-20 |
| 1124282405 | Jan's Hair Replacement Systems, Inc | Durable Medical Equipment & Medical Supplies | 5385 Oakley Commons Blvd, Union City, GA 30291-7168 | 2008-07-15 |
| 1336312149 | Heal, Inc | Durable Medical Equipment & Medical Supplies | 5100 Alexander Ave, Union City, GA 30291-1106 | 2008-04-12 |
| 1073701207 | Elderkare Medical Supplies LLC. | Durable Medical Equipment & Medical Supplies | 1311 Summit Ave, Suite, Union City, NJ 07087-6250 | 2007-10-12 |
| 1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
| 1114077435 | Toledo Drugs Inc | Durable Medical Equipment & Medical Supplies | 3808 Bergenline Ave, Union City, NJ 07087-4895 | 2007-01-11 |
| 1275696890 | Shah Enterprise Inc | Durable Medical Equipment & Medical Supplies | 1019 Summit Ave, Union City, NJ 07087-5511 | 2006-12-18 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 38261 |
Please comment or provide details below to improve the information on MEMPHIS ORTHOPAEDIC MEDICAL SUPPLIES, LLC.
| 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.