MEDICAL EQUIPMENT DISTRIBUTORS OF TENESSEE (NPI# 1740402296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740402296 |
| Entity Type | Organization |
| Organization Name | MEDICAL EQUIPMENT DISTRIBUTORS OF TENESSEE |
| Other Organization Name | MEDICAL MART |
| Practice Address |
980 Highway 28 Suite 404 Jasper TN 37347-3695 |
| Mailing Address |
742 W Lamar Alexander Pkwy Maryville TN 37801 |
| Practice Telephone | 4239422556 |
| Practice Fax Number | 4239422442 |
| Mailing Telephone | 8653800819 |
| Mailing Fax Number | 8653800890 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JASON JOHN HAMES (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8653800819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000000691 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1454237 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Mart | Doing Business As Name - Organization |
| Street Address |
980 HIGHWAY 28 SUITE 404 |
| City | JASPER |
| State | TN |
| Zip Code | 37347-3695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602504 | Robert S Collins | Orthopaedic Surgery | 980 Highway 28, Ste 102, Jasper, TN 37347-3695 | 2005-07-08 |
| 1003209982 | Rhonda C Hill | Nurse Practitioner | 980 Highway 28, Ste 100, Jasper, TN 37347-3696 | 2015-03-16 |
| 1417376195 | Valley Medical Care LLC | Pediatrics | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2014-04-10 |
| 1720407778 | Adria Sherrill | Nurse Practitioner | 980 Highway 28, Suite 28, Jasper, TN 37347-3695 | 2014-04-07 |
| 1194149781 | Frances H Barnett | Family Medicine | 980 Highway 28, Suite 200, Jasper, TN 37347-3695 | 2014-02-18 |
| 1396189510 | Nancy Mueller Fleenor | Nurse Practitioner | 980 Highway 28, Frances H. Barnett Md Family Practice, Jasper, TN 37347-3695 | 2013-04-18 |
| 1497019707 | Medical Arts Plaza, P.C. | Nurse Practitioner | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2012-07-02 |
| 1780963702 | Christopher Brian Walls | Nurse Practitioner | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2011-08-08 |
| 1144546375 | Makhni Cardiology and Medical Associates Pa | Pediatrics | 980 Highway 28, Suite 101, Jasper, TN 37347-3695 | 2010-04-13 |
| 1245423839 | Edward L Mosley Jr | Surgery | 980 Highway 28, Suite 203, Jasper, TN 37347-3695 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
| 1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
| 1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
| 1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
| 1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
| 1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
| Find all providers in zip 37347 | ||||
| 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 |
|---|---|---|---|---|
| 1861044216 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 480 Eversman Dr Rm D105, Jasper, IN 47546-3548 | 2019-07-15 |
| 1437685195 | Jasper Express Care Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4330 Highway 78 E Ste 109a, Jasper, AL 35501-8955 | 2017-05-02 |
| 1306146543 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3561 Newton St, Jasper, IN 47546-1051 | 2010-10-21 |
| 1427360841 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1100 Old Philadelphia Rd, Jasper, GA 30143-4045 | 2010-07-14 |
| 1093049793 | Precision Cpap, Inc. | Durable Medical Equipment & Medical Supplies | 3604 Highway 78 E, Jasper, AL 35501-8909 | 2009-09-28 |
| 1023252582 | Premier Medical Solutions | Durable Medical Equipment & Medical Supplies | 410 18th St W, Jasper, AL 35501-5346 | 2009-04-28 |
| 1891939633 | Ladies Health Boutique, Inc | Durable Medical Equipment & Medical Supplies | 3608 Highway 78 E, Jasper, AL 35501-8909 | 2009-04-23 |
| 1710129648 | Magnolias Post-mastectomy Boutique LLC | Durable Medical Equipment & Medical Supplies | 311 W 36th St, Jasper, IN 47546-9521 | 2009-03-24 |
| 1902074925 | Beaty Drug Company Inc | Durable Medical Equipment & Medical Supplies | 5558 Curry Hwy, Ste 9, Jasper, AL 35503-5845 | 2008-02-12 |
| 1639350903 | Barbara Reece | Durable Medical Equipment & Medical Supplies | 246 Cagle Branch Rd, Jasper, GA 30143 | 2007-11-15 |
| Find all providers in JASPER | ||||
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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.