MOBILE MED INC (NPI# 1285659151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285659151 |
| Entity Type | Organization |
| Organization Name | MOBILE MED INC |
| Other Organization Name | BREATHE MEDICAL |
| Practice Address |
114 S Clifton Ave Louisville KY 40206-2406 |
| Mailing Address |
200 West 5th Street North Summerville SC 29483 |
| Practice Telephone | 5028968335 |
| Mailing Telephone | 8432857903 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY N BESON II (PRESIDENT) |
| Authorized Official Telephone | 8432857903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 370765 | 01 |
| KY | 50009464 | 05 | |
| KY | 90011461 | 05 |
| Other Name | Type Code |
|---|---|
| Breathe Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598849986 | Mobile Med Inc | Pharmacy | 1199 E South Pleasantburg Drive, Greenville, SC 29605 | 2006-10-24 |
| 1164447041 | Mobile Med Inc | Durable Medical Equipment & Medical Supplies | 816 N Elm St, Ste 103, High Point, NC 27262-3920 | 2006-07-13 |
| 1497770366 | Mobile Med Inc | Durable Medical Equipment & Medical Supplies | 200 West 5th Street North, Summerville, SC 29483 | 2006-07-13 |
| 1710904313 | Mobile Med Inc | Durable Medical Equipment & Medical Supplies | 114 S Clifton Ave, Louisville, KY 40206-2406 | 2006-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MOBILE MED INC. | Po Box 233, Fayetteville, North Carolina 29302 |
| Street Address |
114 S CLIFTON AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710904313 | Mobile Med Inc | Durable Medical Equipment & Medical Supplies | 114 S Clifton Ave, Louisville, KY 40206-2406 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467923011 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 1313 Lyndon Ln Ste 108, Louisville, KY 40222-7301 | 2018-12-07 |
| 1285183707 | Greene Respiratory Services, Inc. | Durable Medical Equipment & Medical Supplies | 6301 Poplar Tree Ct, Louisville, KY 40228-1076 | 2016-09-26 |
| 1356615686 | Home Care Oxygen & Equipments L.L.C. | Durable Medical Equipment & Medical Supplies | 6729 Elmcroft Cir, Louisville, KY 40241-5846 | 2012-03-05 |
| 1114207024 | Med-e-care, Inc. | Durable Medical Equipment & Medical Supplies | 7955 National Tpke Unit 100, Louisville, KY 40214-4903 | 2011-08-23 |
| 1336431345 | A2z Dme Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 4010 Dupont Cir Ste L11, Louisville, KY 40207-4825 | 2011-05-10 |
| 1609091669 | Cardiopulmonary Home Care Inc | Durable Medical Equipment & Medical Supplies | 1300 Envoy Cir, Suite 1303, Louisville, KY 40299-2893 | 2007-04-16 |
| 1619019023 | Jet Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12700 Townepark Way, Danville Building, Louisville, KY 40243 | 2007-02-13 |
| 1922161017 | Pro2 Louisville, LLC | Durable Medical Equipment & Medical Supplies | 4616 Poplar Level Rd, Louisville, KY 40213-2338 | 2006-12-19 |
| 1679652168 | B & B Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 2700 Holloway Rd, 114, Louisville, KY 40299-6128 | 2006-11-03 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40206 |
Please comment or provide details below to improve the information on MOBILE MED INC.
| 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.