MED SOURCE SUPPLY AND SERVICE, LLC (NPI# 1366693806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366693806 |
| Entity Type | Organization |
| Organization Name | MED SOURCE SUPPLY AND SERVICE, LLC |
| Practice Address |
3116 Wilson Rd Suite B Centerburg OH 43011-9467 |
| Practice Telephone | 8776721026 |
| Practice Fax Number | 8005317906 |
| Mailing Telephone | 8776721026 |
| Mailing Fax Number | 8005317906 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | RO B FERNANDEZ (MANAGER) |
| Authorized Official Telephone | 6145729748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 90022024 | OH | Suppliers |
| Street Address |
3116 WILSON RD SUITE B |
| City | CENTERBURG |
| State | OH |
| Zip Code | 43011-9467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831755438 | Cheyenne Alexis Martin | Registered Nurse | 58 East Cherry Alley, Apt C, Centerburg, OH 43011 | 2019-05-20 |
| 1003332370 | Diana Helen Sakellis-christofi | Speech-Language Pathologist | 212 Fairview Ave, Centerburg, OH 43011 | 2017-08-18 |
| 1710267398 | Erin Nicole-deal Vieira | Dentist | 3927 Columbus Rd, Centerburg, OH 43011 | 2011-08-26 |
| 1235332479 | Catherine Borden | Registered Nurse | 4622 Lock Rd., Centerburg, OH 43011 | 2007-06-06 |
| 1770009292 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 4581 Columbus Rd, Centerburg, OH 43011 | 2017-08-16 |
| 1851574461 | Centerburg Chiropractic Center | Chiropractor | 29 N Clayton Street, Centerburg, OH 43011-0039 | 2007-12-06 |
| 1023168853 | Harry Mcwilliams Jr. | Chiropractor | 29 N. Clayton St., Centerburg, OH 43011-0039 | 2007-01-12 |
| 1730313339 | Linda Sue Moreland | Licensed Practical Nurse | 13 East Main Street Apt B, Centerburg, OH 43011-0626 | 2009-05-11 |
| 1033147731 | Heartland of Centerburg Oh LLC | Skilled Nursing Facility | 212 Fairview Avenue, Centerburg, OH 43011-0720 | 2006-06-29 |
| 1720241516 | Laura A Mazzaferri | Nurse Practitioner | 29 A North Clayton #749, Centerburg, OH 43011-0749 | 2008-07-02 |
| Find all providers in zip 43011 | ||||
| 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 |
|---|---|---|---|---|
| 1033117510 | Maple Hill, Inc. | Durable Medical Equipment & Medical Supplies | 4584 Columbus Rd, Centerburg, OH 43011-9401 | 2005-07-08 |
| 1770009292 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 4581 Columbus Rd, Centerburg, OH 43011 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648601 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 225 Carlton Davidson Ln Rm 1, Coal Grove, OH 45638-2924 | 2020-10-27 |
| 1801494323 | Augusto S. Fojas, Dds | Durable Medical Equipment & Medical Supplies | 387 County Line Rd W Ste 125, Westerville, OH 43082-6077 | 2020-10-16 |
| 1316552185 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | 6950 Americana Pkwy Ste F, Reynoldsburg, OH 43068-4127 | 2020-09-09 |
| 1689286874 | Cornerstone Medical Services-midwest, LLC | Durable Medical Equipment & Medical Supplies | 25 Office Park Dr Ste B, Hamilton, OH 45013-1496 | 2020-08-19 |
| 1114538980 | Ryan Tullis | Durable Medical Equipment & Medical Supplies | 923 Vernon Odom Blvd, Akron, OH 44307-1315 | 2020-08-13 |
| 1750990362 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 7135 Sylvania Ave Ste 2a, Sylvania, OH 43560-5501 | 2020-07-29 |
| 1881203586 | Kind Medical Supply Company LLC | Durable Medical Equipment & Medical Supplies | 9257 W Sprague Rd Ste B, North Royalton, OH 44133-1208 | 2020-07-28 |
| 1164030037 | Yager Medical LLC | Durable Medical Equipment & Medical Supplies | 740 Yager Rd, New Franklin, OH 44216-9466 | 2020-07-16 |
| 1417574369 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4970 Belmont Ave Ste P, Youngstown, OH 44505-1018 | 2020-06-26 |
| 1417578972 | Steel City Medical Supplies | Durable Medical Equipment & Medical Supplies | 5900 Roche Dr Ste 315, Columbus, OH 43229-3292 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | CENTERBURG |
| Zip Code | 43011 |
Please comment or provide details below to improve the information on MED SOURCE SUPPLY AND SERVICE, 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.