DYNAMIC MEDICAL SUPPLY LLC (NPI# 1740686690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740686690 |
| Entity Type | Organization |
| Organization Name | DYNAMIC MEDICAL SUPPLY LLC |
| Practice Address |
24380 W 10 Mile Rd Southfield MI 48033-2930 |
| Practice Telephone | 2488648457 |
| Practice Fax Number | 2488648492 |
| Mailing Telephone | 2488648457 |
| Mailing Fax Number | 2488648492 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | SOUAD JOMAA (OWNER) |
| Authorized Official Telephone | 2488648457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29219 Southfield Rd, Southfield, MI 480761922 | 2488648457 | 2488648492 |
| Street Address |
24380 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1912532631 | Walter B Cartwright Iv | Durable Medical Equipment & Medical Supplies | 20960 Winchester St, Southfield, MI 48076-5673 | 2020-03-04 |
| 1508332677 | Dawn Dme, Pllc | Durable Medical Equipment & Medical Supplies | 23077 Greenfield Rd Ste 255, Southfield, MI 48075-3750 | 2018-10-16 |
| 1386122059 | Cancer Health LLC | Durable Medical Equipment & Medical Supplies | 18600 W 10 Mile Rd Ste 111, Southfield, MI 48075-2645 | 2018-08-03 |
| 1093292526 | Valerie R. Willis | Durable Medical Equipment & Medical Supplies | 18600 W 10 Mile Rd Ste 112, Southfield, MI 48075-2645 | 2018-07-26 |
| 1780173971 | Premier Medical Development | Durable Medical Equipment & Medical Supplies | 29155 Northwestern Hwy Ste 428, Southfield, MI 48034-1011 | 2018-05-03 |
| 1437672599 | Align Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 20905 Greenfield Rd Ste 300, Southfield, MI 48075-5347 | 2017-07-20 |
| 1891220752 | Metro Medical Supplies,llc | Durable Medical Equipment & Medical Supplies | 24681 Northwestern Hwy Ste 403-a, Southfield, MI 48075-2305 | 2017-04-27 |
| 1861936353 | Biomedical Wholesale LLC | Durable Medical Equipment & Medical Supplies | 24371 W 10 Mile Rd Ste C, Southfield, MI 48033-2929 | 2016-12-19 |
| 1790230522 | Mike Naji | Durable Medical Equipment & Medical Supplies | 18311 W 10 Mile Rd, Suite B, Southfield, MI 48075-2623 | 2016-08-22 |
| 1518363019 | Biomedical Wholesale LLC | Durable Medical Equipment & Medical Supplies | 29219 Southfield Rd, Suite B, Southfield, MI 48076-1922 | 2014-11-10 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on DYNAMIC MEDICAL SUPPLY 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.