LEGACY MEDICAL, LLC (NPI# 1386980696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386980696 |
| Entity Type | Organization |
| Organization Name | LEGACY MEDICAL, LLC |
| Other Organization Name | LEGACY MEDICAL EQUIPMENT |
| Practice Address |
4303 Lyons Rd. Miamisburg OH 45342 |
| Mailing Address |
1700 Edison Dr Milford OH 45150-2729 |
| Practice Telephone | 9374588935 |
| Practice Fax Number | 9378472882 |
| Mailing Telephone | 5135760262 |
| Mailing Fax Number | 5135769459 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | WILLIAM S. HERDTNER (V.P. FINANCE & CFO) |
| Authorized Official Telephone | 5135760262 |
| 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 |
|---|---|
| Legacy Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846648 | Legacy Medical, LLC | Internal Medicine | 5422 Cumming Hwy Ste 104, Sugar Hill, GA 30518-7027 | 2019-02-05 |
| Street Address |
4303 LYONS RD. |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| 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 |
|---|---|---|---|---|
| 1013260785 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 10101 Landing Way, Miamisburg, OH 45342-1159 | 2012-10-18 |
| 1548532690 | Gojo Inc | Durable Medical Equipment & Medical Supplies | 1203 Opal Ave, Miamisburg, OH 45342 | 2012-02-06 |
| 1093091720 | Option Care Enterprises Inc | Durable Medical Equipment & Medical Supplies | 1237 Byers Rd, Miamisburg, OH 45342-5770 | 2011-10-26 |
| 1912111436 | Miamisburg Vision Care | Durable Medical Equipment & Medical Supplies | 340 Alexandersville Road, Miamisburg, OH 45342-2554 | 2007-05-10 |
| 1053487694 | Dayton Mall Foods LLC | Durable Medical Equipment & Medical Supplies | 8245 Springboro Pike, Miamisburg, OH 45342-6103 | 2006-11-27 |
| 1215942230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1260 E Central Ave, Miamisburg, OH 45342-3546 | 2006-07-29 |
| 1679083109 | Healthy Connections Homecare Services, Inc. | Durable Medical Equipment & Medical Supplies | 1237 Byers Rd, Miamisburg, OH 45342-5770 | 2017-10-11 |
| 1083138705 | The Therapy Source, Inc. | Durable Medical Equipment & Medical Supplies | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2017-08-03 |
| 1427344084 | Alliance Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 4000 Miamisburg Centerville Rd, Ste. 110, Miamisburg, OH 45342-7615 | 2011-06-22 |
| 1083911390 | Alliance Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 4000 Miamisburg Centerville Rd, Ste. 230, Miamisburg, OH 45342-7615 | 2011-02-23 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
Please comment or provide details below to improve the information on LEGACY MEDICAL, 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.