CDM SUPPLY, LLC (NPI# 1437356508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437356508 |
| Entity Type | Organization |
| Organization Name | CDM SUPPLY, LLC |
| Practice Address |
N50w13740 Overview Dr Suite B Menomonee Falls WI 53051-7062 |
| Practice Telephone | 2627817690 |
| Practice Fax Number | 2627817692 |
| Mailing Telephone | 2627817690 |
| Mailing Fax Number | 2627817692 |
| Enumeration Date | 2007-07-01 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | DALE ALAN RUNGE (MANAGER) |
| Authorized Official Telephone | 2627817690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41569100 | 05 |
| Street Address |
N50W13740 OVERVIEW DR SUITE B |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215243332 | Direct Supply, Inc. | Durable Medical Equipment & Medical Supplies | 6767 N Industrial Rd, Milwaukee, WI 53223-5815 | 2010-08-26 |
| 1902134224 | Knutson | Durable Medical Equipment & Medical Supplies | N5272 Highway I, Saukville, WI 53080-1040 | 2009-11-24 |
| 1700010097 | Procare Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | S93w31636 Gena Dr, Mukwonago, WI 53149-8273 | 2009-05-14 |
| 1457517351 | Clearly Superior, Inc | Durable Medical Equipment & Medical Supplies | 6120 Tower Ave, Superior, WI 54880-5900 | 2008-07-31 |
| 1235110016 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 23926 4th Ave S, Siren, WI 54872-8334 | 2005-11-09 |
| 1528049301 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 10560 Applewood Dr, Sister Bay, WI 54234-9005 | 2005-11-09 |
| 1144229055 | County of Richland | Durable Medical Equipment & Medical Supplies | 25951 Circle View Dr, Richland Center, WI 53581-4013 | 2005-07-21 |
| 1932282555 | Simon Oshkosh Properties LLC | Durable Medical Equipment & Medical Supplies | 1850 Bowen St, Oshkosh, WI 54901-2356 | 2006-10-24 |
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on CDM SUPPLY, 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.