SOURCE ONE MEDICAL INC (NPI# 1275530784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275530784 |
| Entity Type | Organization |
| Organization Name | SOURCE ONE MEDICAL INC |
| Other Organization Name | SOURCE ONE MEDICAL INC |
| Practice Address |
96 Inverness Dr E Unit D Englewood CO 80112-5302 |
| Mailing Address |
38 Tesla Suite 150 Irvine CA 92618-4670 |
| Practice Telephone | 8884479056 |
| Practice Fax Number | 8005881253 |
| Mailing Telephone | 8884479056 |
| Mailing Fax Number | 8005881253 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | DENNIS KLINE (PRESIDENT/CEO) |
| Authorized Official Telephone | 8884479056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Source One Medical Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679736888 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 6280 S Valley View Blvd, Suite 220, Las Vegas, NV 89118-3809 | 2008-07-08 |
| 1568653871 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 38 Tesla, Suite 150, Irvine, CA 92618-4669 | 2007-08-05 |
| 1679661870 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 1397 Piedmont Dr, Ste 300, Troy, MI 48083-1906 | 2006-10-11 |
| 1578672374 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 7551 W 99th St, Bridgeview, IL 60455-2403 | 2006-08-29 |
| 1881703684 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 2124 S 156th Cir, Omaha, NE 68130-2503 | 2006-08-29 |
| 1982673257 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 6886 Hillsdale Ct, Indianapolis, IN 46250-2001 | 2006-03-17 |
| 1043289176 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 411 Ironwood Dr, Salt Lake City, UT 84115-2948 | 2006-03-14 |
| 1750388252 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 2121 New Market Pkwy Se, Suite 108, Marietta, GA 30067-9315 | 2005-06-30 |
| 1619972239 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 16 Technology Dr, Suite 165, Irvine, CA 92618-2328 | 2005-06-20 |
| 1548416043 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 7551 W 99th St, Bridgeview, IL 60455-2403 | 2008-08-15 |
| Street Address |
96 INVERNESS DR E UNIT D |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80112-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| 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 |
|---|---|---|---|---|
| 1952952699 | Xmed Oxygen and Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 4055 S Eliot St, Englewood, CO 80110-4396 | 2019-09-24 |
| 1689164097 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 8440 Concord Center Dr Ste 101, Englewood, CO 80112-7058 | 2018-05-11 |
| 1760913396 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 707 East Jefferson Avenue, Englewood, CO 80113-1234 | 2017-03-24 |
| 1184163321 | Ares Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 177 N Dean Street, Suite 303, Englewood, NJ 07631 | 2017-02-21 |
| 1104297977 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 93 W Palisade Ave Rm 128, Englewood, NJ 07631-2611 | 2015-10-19 |
| 1750774618 | Uromed, Inc. | Durable Medical Equipment & Medical Supplies | 8440 Concord Center Dr Ste 102, Englewood, CO 80112-7058 | 2015-03-16 |
| 1235532136 | Healgenix Orthopedics, LLC | Durable Medical Equipment & Medical Supplies | 88 Inverness Cir E Unit K104, Englewood, CO 80112-5528 | 2014-10-06 |
| 1285036517 | Nextgen Wound Solutions, LLC | Durable Medical Equipment & Medical Supplies | 88 Inverness Cir E Unit K103, Englewood, CO 80112-5528 | 2014-09-18 |
| 1265866339 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10 W Palisade Ave, Englewood, NJ 07631-2709 | 2013-08-26 |
| 1033459433 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 6920 S Jordan Rd, Unit M, Englewood, CO 80112-4265 | 2013-02-21 |
| Find all providers in ENGLEWOOD | ||||
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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.