GRAHAM SEGO CORPORATION (NPI# 1578683900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578683900 |
| Entity Type | Organization |
| Organization Name | GRAHAM SEGO CORPORATION |
| Other Organization Name | SEGOS HOME MEDICAL EQUIPMENT |
| Practice Address |
355 Citrus Tower Blvd Suite 102 Clermont FL 34711-6501 |
| Practice Telephone | 3522429004 |
| Practice Fax Number | 3522429006 |
| Mailing Telephone | 3522429004 |
| Mailing Fax Number | 3522429006 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | MR. E. EUGENE SEGO (OWNER) |
| Authorized Official Telephone | 3212680179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
321520 | FL | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 030871400 | 05 |
| Other Name | Type Code |
|---|---|
| Segos Home Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134157894 | Graham Sego Corporation | Pharmacy | 1317 Garden St, Titusville, FL 32796-3312 | 2006-06-29 |
| 1457474157 | Graham Sego Corporation | Durable Medical Equipment & Medical Supplies | 1317 Garden St, Titusville, FL 32796-3312 | 2007-04-09 |
| Street Address |
355 CITRUS TOWER BLVD SUITE 102 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236410 | Natalie Waldo | Behavior Technician | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2020-02-12 |
| 1932749124 | Samantha Buxbaum | Behavior Technician | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2020-01-15 |
| 1679041289 | Megan Augusta Pauling | Behavioral Analyst | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2018-11-13 |
| 1588180657 | Andrea Elliott | Behavioral Analyst | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2017-08-20 |
| 1730627571 | Stacy Peterson | Behavior Technician | 355 Citrus Tower Blvd, Suite 116, Clermont, FL 34711-6501 | 2017-02-01 |
| 1285179812 | Alexandra Whittaker | Behavioral Analyst | 355 Citrus Tower Blvd, Suite 116, Clermont, FL 34711-6501 | 2017-01-05 |
| 1619331063 | Michelle Edwards | Behavioral Analyst | 355 Citrus Tower Blvd, 116, Clermont, FL 34711-6501 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| 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 |
|---|---|---|---|---|
| 1992286926 | Ps Depot | Durable Medical Equipment & Medical Supplies | 16215 Sr 50 Ste 303, Clermont, FL 34711-6000 | 2018-08-27 |
| 1134638257 | Implagraft LLC | Durable Medical Equipment & Medical Supplies | 12701 Magnolia Bay Blvd, Clermont, FL 34711-8144 | 2017-09-20 |
| 1902252869 | Brian Anderson | Durable Medical Equipment & Medical Supplies | 9423 County Road 561, Clermont, FL 34711-9199 | 2016-05-10 |
| 1295189538 | Ability Health Services | Durable Medical Equipment & Medical Supplies | 1804 Oakley Seaver Dr Ste E, Clermont, FL 34711-1925 | 2016-04-22 |
| 1033418330 | Reliance Medical Supply | Durable Medical Equipment & Medical Supplies | 12808 Austin Cove Ct, Clermont, FL 34711-6364 | 2011-03-25 |
| 1356578892 | Usv Optical Inc. | Durable Medical Equipment & Medical Supplies | 2577 South Highway 27, Clermont, FL 34711 | 2009-06-11 |
| 1427228303 | Terry E Roberts | Durable Medical Equipment & Medical Supplies | 5517 Clarks Bridge Rd, Clermont, GA 30527-2231 | 2008-03-06 |
| 1205982352 | Wauka Mountain Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5233 Cleveland Hwy, Clermont, GA 30527-2205 | 2007-01-25 |
| 1659475622 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1800 E Highway 50, Clermont, FL 34711-1914 | 2006-09-12 |
| 1295839108 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 4405 S Highway 27, Clermont, FL 34711-5384 | 2006-09-12 |
| Find all providers in CLERMONT | ||||
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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.