MEDINNOVATION TECHNOLOGY GROUP, INC. (NPI# 1669806170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669806170 |
| Entity Type | Organization |
| Organization Name | MEDINNOVATION TECHNOLOGY GROUP, INC. |
| Practice Address |
3088 Ballesteras Ct Mount Airy MD 21771-8094 |
| Mailing Address |
Po Box 1101 Mount Airy MD 21771-1101 |
| Practice Telephone | 4435164040 |
| Mailing Telephone | 4435164040 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | MR. KEVIN RODRIGUEZ (PRESIDENT) |
| Authorized Official Telephone | 4435164040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3088 BALLESTERAS CT |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-8094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| 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 |
|---|---|---|---|---|
| 1184148983 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 415 E Ridgeville Blvd, Mount Airy, MD 21771-5217 | 2017-08-02 |
| 1043445547 | Prosperitas, LLC | Durable Medical Equipment & Medical Supplies | 172 W Independence Blvd, Mount Airy, NC 27030-3566 | 2009-05-27 |
| 1023212248 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 911 Worth St, Mount Airy, NC 27030-4459 | 2007-06-12 |
| 1588866065 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2069 Rockford St, Mount Airy, NC 27030-5203 | 2007-06-05 |
| 1336248525 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 114 East Lebanon Street, Mount Airy, NC 27030-3662 | 2006-09-22 |
| 1497851513 | The Optical Place, Inc. | Durable Medical Equipment & Medical Supplies | 447 N Andy Griffith Pkwy Ste 100, Mount Airy, NC 27030-2520 | 2006-09-16 |
| 1285743666 | Rite Aid of Maryland Inc | Durable Medical Equipment & Medical Supplies | 415 East Ridgeville Boulevard, Mount Airy Shopping Center, Mount Airy, MD 21771-5217 | 2006-08-30 |
| 1164449302 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2241 Rockford St, Mount Airy, NC 27030-5262 | 2006-07-16 |
| 1912924291 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 209 E Ridgeville Blvd, Mount Airy, MD 21771-5257 | 2006-07-16 |
| 1316962962 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5252 | 2006-07-13 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
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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.