PALMETTO OXYGEN OF THE MID-ATLANTIC, LLC (NPI# 1710352331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710352331 |
| Entity Type | Organization |
| Organization Name | PALMETTO OXYGEN OF THE MID-ATLANTIC, LLC |
| Other Organization Name | MEDBRIDGE HOME MEDICAL |
| Practice Address |
8101 Hinson Farm Rd Suite 419 Alexandria VA 22306-3403 |
| Mailing Address |
430 Woodruff Road Suite 450 Greenville SC 29607-3443 |
| Practice Telephone | 7034364766 |
| Mailing Telephone | 8642721840 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | MR. MATTHEW S MELLOTT (PRESIDENT) |
| Authorized Official Telephone | 8642721840 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDBRIDGE HOME MEDICAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| MedBridge Home Medical | Doing Business As Name - Organization |
| Street Address |
8101 HINSON FARM RD SUITE 419 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495871 | Stephen W Rex | Family Medicine | 8101 Hinson Farm Rd, Ste 415, Alexandria, VA 22306-3410 | 2005-05-23 |
| 1386201234 | Ciana Puglise | Physical Therapist | 8101 Hinson Farm Rd, Alexandria, VA 22306-3403 | 2019-05-28 |
| 1720511421 | Shaima Jalala Kanak | Nurse Practitioner | 8101 Hinson Farm Rd, Suite 211, Alexandria, VA 22306-3403 | 2017-04-10 |
| 1619413713 | Michelle Lynn Nelson | Physical Therapist | 8101 Hinson Farm Rd, 401, Alexandria, VA 22306-3403 | 2017-01-12 |
| 1639629884 | Joseph William Palombo | Physical Therapist | 8101 Hinson Farm Rd, Suite 401, Alexandria, VA 22306-3403 | 2016-10-12 |
| 1942652847 | Premier Sleep Diagnostic Centers LLC | Internal Medicine | 8101 Hinson Farm Rd, Suite 202, Alexandria, VA 22306-3403 | 2016-07-05 |
| 1144684622 | Melissa Klausman | Nurse Practitioner | 8101 Hinson Farm Rd, Alexandria, VA 22306-3403 | 2016-04-11 |
| 1073909263 | Alexandria Sports Inc | Clinic/Center | 8101 Hinson Farm Rd, Suite 312, Alexandria, VA 22306-3408 | 2015-04-14 |
| 1336545326 | Thomas Rammelkamp | Physical Therapist | 8101 Hinson Farm Rd, Ste 312, Alexandria, VA 22306-3403 | 2014-11-18 |
| 1770984189 | Margaret Ter Horst Robinson | Social Worker | 8101 Hinson Farm Rd, Suite #117, Alexandria, VA 22306-3403 | 2014-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948002 | Alexandria Durable Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 8242 Alexandria Pike Ste 100, Alexandria, KY 41001-1162 | 2019-12-09 |
| 1336184068 | Delores Blakesley | Durable Medical Equipment & Medical Supplies | 1106 Macarthur Dr, Suite 1, Alexandria, LA 71303-3122 | 2006-06-17 |
| 1619915667 | Tri-parish Rental, Inc. | Durable Medical Equipment & Medical Supplies | 21a Heyman Ln, Alexandria, LA 71303-3574 | 2006-06-03 |
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| 1780292441 | Rapid Global Responders LLC | Durable Medical Equipment & Medical Supplies | 13612 Village Green Dr, Leesburg, VA 20176-5007 | 2020-07-20 |
| 1932738036 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 210 Fort Collier Rd Ste 1and2, Winchester, VA 22603-5738 | 2020-04-02 |
| 1619502853 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 231 Potomac Ave, Quantico, VA 22134-3458 | 2020-03-09 |
| 1316587041 | Mms Norfolk, Inc. | Durable Medical Equipment & Medical Supplies | 11828 Canon Blvd Ste C, Newport News, VA 23606-2554 | 2020-01-10 |
| 1427698158 | Mms Norfolk, Inc. | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 113, Chesapeake, VA 23320-2887 | 2020-01-10 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1386292860 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 1035 Champions Way Ste 200, Suffolk, VA 23435-3762 | 2019-08-28 |
| 1639668791 | Airway Breathing Co | Durable Medical Equipment & Medical Supplies | 1117 Old Colony Ln Ste B, Williamsburg, VA 23185-3801 | 2018-05-04 |
| 1508362757 | Robert Mcclatchey | Durable Medical Equipment & Medical Supplies | 17865 Main St Ste B, Dumfries, VA 22026-2411 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on PALMETTO OXYGEN OF THE MID-ATLANTIC, LLC.
| 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.