MONTGOMERY MEDICAL SUPPLY (NPI# 1467485201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467485201 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY MEDICAL SUPPLY |
| Practice Address |
11800 Prices Distillery Rd Damascus MD 20872-1506 |
| Practice Telephone | 3015389020 |
| Practice Fax Number | 3014821523 |
| Mailing Telephone | 3015389020 |
| Mailing Fax Number | 3014821523 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRANK GRIFFIN (PARTNER) |
| Authorized Official Telephone | 3015389020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
11800 PRICES DISTILLERY RD |
| City | DAMASCUS |
| State | MD |
| Zip Code | 20872-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072601 | Jayesh N Patel | Pharmacist | Weis Pharmacy, 26075 S. Ridge Rd, Damascus, MD 20872 | 2018-11-26 |
| 1396264834 | Perfect Balance Counseling Services, LLC | Counselor | 28201 Clarksburg Road, Damascus, MD 20872 | 2017-09-15 |
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1669819991 | Teicher Nicole Agosto | Pharmacist | 25613 Coltrane Drive, Damascus, MD 20872 | 2013-05-28 |
| 1295178663 | Cherifath Imelda Akimey Amadou Kiki | Home Health Aide | 2705 Nicholson Street Apt 302, Hyattsville, MD 20872 | 2013-04-16 |
| 1013297084 | Vera Bong Sangbong | Pharmacist | 9807 Main Street, Damascus, MD 20872 | 2011-08-23 |
| 1881736502 | Graciano P Gancayco | Pediatrics | 9701 New Church St., Damascus, MD 20872 | 2007-02-12 |
| 1700961893 | Richard J Schoeb Dds Chtd | Dentist | 9701 New Church St, Suite 9, Damascus, MD 20872 | 2006-10-26 |
| 1508838111 | Frank H Lewis Dds LLC | Dentist | 9899 Main St, Suite 200, Damascus, MD 20872 | 2006-02-07 |
| 1952303604 | Theresa D Poepperling | Midwife | 26005 Ridge Road, Suite 200, Damascus, MD 20872 | 2005-08-12 |
| Find all providers in zip 20872 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
| 1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
| 1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
| 1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
| 1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
| 1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
| Find all providers with the same taxonomy | ||||
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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.