MDS MEDICAL DEVICE SPECIALTY INC. (NPI# 1568022606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568022606 |
| Entity Type | Organization |
| Organization Name | MDS MEDICAL DEVICE SPECIALTY INC. |
| Practice Address |
116 E Market St Ste 110 Johnson City TN 37604-5793 |
| Mailing Address |
270 W 500 N North Salt Lake UT 84054-2769 |
| Practice Telephone | 8885185110 |
| Practice Fax Number | 8774750303 |
| Mailing Telephone | 8017848884 |
| Mailing Fax Number | 8774750303 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | MARK ALLEN JOLLEY (COO) |
| Authorized Official Telephone | 8014750303 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | MDS MEDICAL DEVICE SPECIALTY INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551932 | Mds Medical Device Specialty Inc. | Durable Medical Equipment & Medical Supplies | 5830 Mcardle Rd Ste 15, Corpus Christi, TX 78412-3472 | 2015-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MDS MEDICAL DEVICE SPECIALTY INC | 270 W 500 N, North Salt Lake, UT 84054 |
| New York State Corporations | MDS MEDICAL DEVICE SPECIALTY INC. | 448 East 5350 South Ste B, Ogden, Utah 84405 |
| Washington State Corporations | MDS MEDICAL DEVICE SPECIALTY INC. | 270 W 500 N, North Salt Lake, UT 84054-2769 |
| Street Address |
116 E MARKET ST STE 110 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1598229353 | Medly Health Solutions LLC | Durable Medical Equipment & Medical Supplies | 802 Buffalo St Ste 3a, Johnson City, TN 37604-6901 | 2019-01-25 |
| 1437696317 | Trusted Benefits | Durable Medical Equipment & Medical Supplies | 302 Sunset Dr Ste 107, Johnson City, TN 37604-2408 | 2017-01-30 |
| 1326410739 | Horizon Community Dev. Corp. | Durable Medical Equipment & Medical Supplies | 806 Dresden Ave, Johnson City, TN 37604-6324 | 2015-10-25 |
| 1982071692 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 920 N. State of Franklin Rd, Johnson City, TN 37604 | 2015-08-28 |
| 1356726400 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 109 W Watauga Ave Ste 129, Johnson City, TN 37604-5621 | 2015-07-29 |
| 1629484266 | Highrise Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 3900 Bristol Hwy Ste B3, Johnson City, TN 37601-1378 | 2014-07-03 |
| 1710281498 | Right Coast Medical, LLC | Durable Medical Equipment & Medical Supplies | 116 E Market Street, Suite 100, Johnson City, TN 37604 | 2011-01-10 |
| 1780909192 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 3212 Hanover Rd, Ste 2, Johnson City, TN 37604 | 2010-03-30 |
| 1902034762 | Ronald Ray Kind | Durable Medical Equipment & Medical Supplies | 1307 Woodland Ave, Johnson City, TN 37601-2633 | 2009-06-30 |
| 1689824872 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 606 N Broadway St, Johnson City, TN 37601-3535 | 2008-09-24 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.