SOUTHGATE DURABLE MEDICAL EQUIPMENTS (NPI# 1760551592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760551592 |
| Entity Type | Organization |
| Organization Name | SOUTHGATE DURABLE MEDICAL EQUIPMENTS |
| Practice Address |
3352 Goodman Rd E Southaven MS 38672-6433 |
| Practice Telephone | 6622530021 |
| Practice Fax Number | 6622530084 |
| Mailing Telephone | 6622530021 |
| Mailing Fax Number | 6622530084 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-11-19 |
| Authorized Official Name | WALTER OSITA NNAEMEKA (OWNER) |
| Authorized Official Telephone | 6622530021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2473 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04150524 | 05 | |
| TN | TENNCARE | 4582511 | 01 |
| Street Address |
3352 GOODMAN RD E |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| 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 |
|---|---|---|---|---|
| 1942746805 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 55 Physicians Ln Ste 1and2, Southaven, MS 38671-9569 | 2017-01-16 |
| 1396280962 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 480 Airport Industrial Dr Ste A, Southaven, MS 38671-5870 | 2017-01-05 |
| 1124464334 | Reach Medcare, LLC | Durable Medical Equipment & Medical Supplies | 915 Ferncliff Drive, Suite 1b, Southaven, MS 38671-2420 | 2013-05-14 |
| 1902185788 | Target Medical Inc, Ms | Durable Medical Equipment & Medical Supplies | 7065 Airways Blvd Ste 104, Southaven, MS 38671-5873 | 2011-08-10 |
| 1255661534 | Trinity Medical Solutions | Durable Medical Equipment & Medical Supplies | 9063 Millbranch Rd, Southaven, MS 38671-1419 | 2010-01-08 |
| 1255561916 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2955 Church Rd E, Southaven, MS 38671-9767 | 2009-07-16 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1437393311 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 55 Goodman Rd W, Southaven, MS 38671-9447 | 2009-04-23 |
| 1235394206 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 7165 Swinnea Rd, B-2, Southaven, MS 38671-6360 | 2008-07-18 |
| 1457523581 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2996 Church Rd E, Southaven, MS 38671-9825 | 2008-03-28 |
| Find all providers in SOUTHAVEN | ||||
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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.