CHOICE CARE MEDICAL (NPI# 1336680065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336680065 |
| Entity Type | Organization |
| Organization Name | CHOICE CARE MEDICAL |
| Practice Address |
9390 Ford Ave Ste 9 Richmond Hill GA 31324 |
| Mailing Address |
9390 Ford Ave Ste 9 Richmond Hill GA 31324-6420 |
| Practice Telephone | 9124450422 |
| Mailing Telephone | 9124450422 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | REINALDO WILSON (OWNER) |
| Authorized Official Telephone | 3367400899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHOICE CARE MEDICAL ASSOCIATES, P.C. | 40 Colvin Ave., Suite 200, Albany, Ny 12206 |
| Street Address |
9390 FORD AVE STE 9 |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| 1700282084 | Kimberly Cannon | Occupational Therapist | 27 Carter Street, Richmond Hills, GA 31324 | 2014-11-13 |
| Find all providers in zip 31324 | ||||
| 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 |
|---|---|---|---|---|
| 1659988863 | Qly Supply Inc. | Durable Medical Equipment & Medical Supplies | 8804 136th St, Richmond Hill, NY 11418-1921 | 2020-09-30 |
| 1942765920 | Good Care Supply Inc | Durable Medical Equipment & Medical Supplies | 8711 118th St, Richmond Hill, NY 11418-2528 | 2019-02-05 |
| 1558876508 | Efraym Mastov | Durable Medical Equipment & Medical Supplies | 11611 Myrtle Ave, Richmond Hill, NY 11418-1744 | 2017-12-12 |
| 1932643178 | Town Supply, Inc | Durable Medical Equipment & Medical Supplies | 10221 Jamaica Ave, Richmond Hill, NY 11418-2000 | 2016-12-07 |
| 1194077453 | Global Orthotics Ltd | Durable Medical Equipment & Medical Supplies | 8536 102nd St, Richmond Hill, NY 11418-1120 | 2012-10-11 |
| 1487955084 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 3766 Us Highway 17 Ste 201, Richmond Hill, GA 31324-8876 | 2010-11-12 |
| 1962711812 | Yusupov's Offer | Durable Medical Equipment & Medical Supplies | 8650 112th St, Richmond Hill, NY 11418-1635 | 2010-09-27 |
| 1720399652 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 132-50 Metropolitan Ave, Richmond Hill, NY 11418-1948 | 2010-06-25 |
| 1619206117 | Rehab1one Op Ltd | Durable Medical Equipment & Medical Supplies | 11411 Jamaica Ave Ste A, Richmond Hill, NY 11418-2443 | 2009-12-11 |
| 1396976130 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2270 Us Highway 17, Richmond Hill, GA 31324-3669 | 2009-07-28 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on CHOICE CARE MEDICAL.
| 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.