SOUTHEASTERN MEDICAL BROKERS, INC. (NPI# 1316369689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316369689 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN MEDICAL BROKERS, INC. |
| Practice Address |
2101 Main St Columbia SC 29201-2159 |
| Mailing Address |
1001 Walton Way Augusta GA 30901-2841 |
| Practice Telephone | 8037991133 |
| Practice Fax Number | 8032520814 |
| Mailing Telephone | 7068558988 |
| Mailing Fax Number | 7068558902 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |
| Authorized Official Name | MR. MARC SMITH (PRESIDENT) |
| Authorized Official Telephone | 7068558988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851661797 | Southeastern Medical Brokers, Inc. | Durable Medical Equipment & Medical Supplies | 1739 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2012-01-10 |
| 1194808881 | Southeastern Medical Brokers, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Walton Way, Augusta, GA 30901-2841 | 2006-10-24 |
| 1801979596 | Southeastern Medical Brokers, Inc. | Durable Medical Equipment & Medical Supplies | 1022 Walton Way, Augusta, GA 30901-2843 | 2006-10-24 |
| Street Address |
2101 MAIN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750714234 | Patrick Ryan O'toole | Chiropractor | 2101 Main St, Columbia, SC 29201-2159 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| 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 |
|---|---|---|---|---|
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1457975575 | Siege Consulting LLC | Durable Medical Equipment & Medical Supplies | 7125 Thomas Edison Dr Ste 107, Columbia, MD 21046-2208 | 2020-06-04 |
| 1497385454 | Phenomenal Hair Replacement Services LLC | Durable Medical Equipment & Medical Supplies | 9400 Two Notch Rd Ste E1, Columbia, SC 29223-5946 | 2020-01-17 |
| 1689146409 | Mom4moms | Durable Medical Equipment & Medical Supplies | 3905 W Beltline Blvd Ste 17, Columbia, SC 29204-1503 | 2018-12-18 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1447749130 | Kevin Anthony Rasberry | Durable Medical Equipment & Medical Supplies | 482 Marsh Pointe Dr, Columbia, SC 29229-7025 | 2018-05-08 |
| 1811486285 | F & M Logistics | Durable Medical Equipment & Medical Supplies | 9650 Santiago Rd Ste 7, Columbia, MD 21045-3960 | 2018-05-01 |
| 1558884544 | Boone Health Supplies | Durable Medical Equipment & Medical Supplies | 303 N Stadium Blvd Fl 2, Columbia, MO 65203-1493 | 2017-07-20 |
| 1780113696 | Reliance Mobility, LLC | Durable Medical Equipment & Medical Supplies | 702 Lion Pkwy, Columbia, TN 38401-4721 | 2017-06-06 |
| 1003262809 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1028 Roberts Branch Pkwy, Columbia, SC 29203 | 2016-05-11 |
| Find all providers in COLUMBIA | ||||
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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.