WATERLYN MEDICAL SUPPLY (NPI# 1710111752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710111752 |
| Entity Type | Organization |
| Organization Name | WATERLYN MEDICAL SUPPLY |
| Practice Address |
12823 Waterlyn Club Dr Charlotte NC 28278-7680 |
| Practice Telephone | 7049102146 |
| Mailing Telephone | 7049102146 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |
| Authorized Official Name | MRS. JEAN MARIE MAURER (OFFICE MANAGER) |
| Authorized Official Telephone | 7049102146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
12823 WATERLYN CLUB DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| 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 |
|---|---|---|---|---|
| 1285258244 | Royal Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3709 Eastway Dr Ste 101, Charlotte, NC 28205-6266 | 2020-06-04 |
| 1427681667 | Prism Medical Products, L.L.C. | Durable Medical Equipment & Medical Supplies | 9635 Southern Pine Blvd Ste 100, Charlotte, NC 28273-5546 | 2020-02-17 |
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1710529458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Hawthorne Ln Ste T1578, Charlotte, NC 28204-2515 | 2019-10-15 |
| 1861040750 | Helen C Ananti | Durable Medical Equipment & Medical Supplies | 7401 The Plz Ste C, Charlotte, NC 28215-1925 | 2019-09-03 |
| 1407326416 | Affordable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7200 Albemarle Rd Ste E, Charlotte, NC 28227-8110 | 2018-12-03 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1821574955 | Jeff Gauer | Durable Medical Equipment & Medical Supplies | 9517 Monroe Rd Ste H, Charlotte, NC 28270-1489 | 2018-07-11 |
| 1871089094 | Unyq Design Inc | Durable Medical Equipment & Medical Supplies | 1776 Statesville Ave # 10117, Charlotte, NC 28206-3013 | 2018-07-11 |
| 1225524671 | Jevetta R Wade | Durable Medical Equipment & Medical Supplies | 8828 Balmoral Park Dr, Charlotte, NC 28277-1338 | 2018-07-09 |
| Find all providers in CHARLOTTE | ||||
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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.