MEDALL, INC. (NPI# 1649204694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649204694 |
| Entity Type | Organization |
| Organization Name | MEDALL, INC. |
| Practice Address |
221 W Exchange Ave Suite 303 Fort Worth TX 76164-9614 |
| Mailing Address |
Po Box 185132 Fort Worth TX 76181-0132 |
| Practice Telephone | 8176269991 |
| Practice Fax Number | 8176260920 |
| Mailing Telephone | 8176269991 |
| Mailing Fax Number | 8176260920 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MIKE SCOTT WILBURN (PRESIDENT) |
| Authorized Official Telephone | 8176269991 |
| Authorized Official Credential | OP |
| 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 |
5468630001 | TX | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5468630001 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 177887001 | 05 | |
| TX | 177887002 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MEDALL, INC. | 7 Old Lexington Rd., Lincoln, MA 01773 |
| Street Address |
221 W EXCHANGE AVE SUITE 303 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76164-9614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648561 | Karissa Brianna Rodriguez | Registered Nurse | 2215 Pearl Avenue, Fort Worth, TX 76164 | 2020-08-02 |
| 1972609501 | Patricia Gail Woolford | Dentist | 612 Nw 25th St, Ft Worth, TX 76164 | 2006-09-14 |
| 1215428511 | Veronica Salaices-fraire | Physician Assistant | 229 Ne 28th St, Fort Worth, TX 76164 | 2018-05-22 |
| 1831134667 | Rose S Simonian | Obstetrics & Gynecology | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2006-06-17 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1457448482 | Glory Lynn Windmiller | Dentist | 1966 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-10-10 |
| 1881611382 | Melissa Kurkjian Greer | Internal Medicine | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-07-17 |
| 1053367763 | Usrc Tarrant Lp | Clinic/Center | 1978 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-05-25 |
| 1356898092 | Yaimi Jaramillo-ortiz | Physician Assistant | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2016-09-09 |
| 1700044971 | Atul M Masters | Dentist | 1612 Nw 28th St, Fort Worth, TX 76164-6843 | 2008-05-23 |
| Find all providers in zip 76164 | ||||
| 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 |
|---|---|---|---|---|
| 1083225452 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 901 W Leuda St Ste C, Fort Worth, TX 76104-3003 | 2020-08-11 |
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1841814480 | Orthous Medical LLC | Durable Medical Equipment & Medical Supplies | 5049 Edwards Ranch Rd Fl 4, Fort Worth, TX 76109-4133 | 2020-05-29 |
| 1376164921 | Evan Larson | Durable Medical Equipment & Medical Supplies | 1100 Bridgewood Dr Ste 102, Fort Worth, TX 76112-0808 | 2020-05-05 |
| 1356971733 | Elite Hair Strands LLC | Durable Medical Equipment & Medical Supplies | 4609 Marks Iv Pkwy, Fort Worth, TX 76161 | 2020-01-24 |
| 1588209795 | Kamlesh Patel | Durable Medical Equipment & Medical Supplies | 801 E Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1023653243 | Dl Durable Equipment LLC | Durable Medical Equipment & Medical Supplies | 801 E. Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1851935092 | Above and Beyond Management Inc | Durable Medical Equipment & Medical Supplies | 9500 Ray White Rd # 100, Fort Worth, TX 76244-6000 | 2019-10-31 |
| 1922641463 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 2222 Wenneca Ave, Fort Worth, TX 76102-4325 | 2019-10-28 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76164 |
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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.