SOURCE ONE MEDICAL INC (NPI# 1881703684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881703684 |
| Entity Type | Organization |
| Organization Name | SOURCE ONE MEDICAL INC |
| Other Organization Name | SOURCE ONE MEDICAL INC |
| Practice Address |
2124 S 156th Cir Omaha NE 68130-2503 |
| Mailing Address |
38 Tesla Suite 150 Irvine CA 92618-4669 |
| Practice Telephone | 8884479056 |
| Practice Fax Number | 9493876371 |
| Mailing Telephone | 8884479056 |
| Mailing Fax Number | 9493876371 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | DENNIS KLINE (PRESIDENT/CEO) |
| Authorized Official Telephone | 8884479056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NE | Suppliers |
| Other Name | Type Code |
|---|---|
| Source One Medical Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679736888 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 6280 S Valley View Blvd, Suite 220, Las Vegas, NV 89118-3809 | 2008-07-08 |
| 1568653871 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 38 Tesla, Suite 150, Irvine, CA 92618-4669 | 2007-08-05 |
| 1679661870 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 1397 Piedmont Dr, Ste 300, Troy, MI 48083-1906 | 2006-10-11 |
| 1578672374 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 7551 W 99th St, Bridgeview, IL 60455-2403 | 2006-08-29 |
| 1982673257 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 6886 Hillsdale Ct, Indianapolis, IN 46250-2001 | 2006-03-17 |
| 1043289176 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 411 Ironwood Dr, Salt Lake City, UT 84115-2948 | 2006-03-14 |
| 1275530784 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 96 Inverness Dr E, Unit D, Englewood, CO 80112-5302 | 2005-06-30 |
| 1750388252 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 2121 New Market Pkwy Se, Suite 108, Marietta, GA 30067-9315 | 2005-06-30 |
| 1619972239 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 16 Technology Dr, Suite 165, Irvine, CA 92618-2328 | 2005-06-20 |
| 1548416043 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 7551 W 99th St, Bridgeview, IL 60455-2403 | 2008-08-15 |
| Street Address |
2124 S 156TH CIR |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| 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 |
|---|---|---|---|---|
| 1356968465 | Madison County Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5420 F St, Omaha, NE 68117-2815 | 2020-07-06 |
| 1972120004 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 6700 Mercy Rd Ste 109, Omaha, NE 68106-2613 | 2020-07-06 |
| 1487129425 | Sakrx, LLC | Durable Medical Equipment & Medical Supplies | 2915 Leavenworth St, Omaha, NE 68105-2739 | 2018-10-05 |
| 1982187654 | Us Pharmacy | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 144, Omaha, NE 68114-3417 | 2018-09-10 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1265964886 | Personal Hme LLC | Durable Medical Equipment & Medical Supplies | 5346 S 136th St, 390081, Omaha, NE 68137-3001 | 2017-04-02 |
| 1306209127 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4001 Leavenworth St Ste 150a, Omaha, NE 68105-1026 | 2016-03-30 |
| 1194108688 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5115 S 111th St, Omaha, NE 68137-2341 | 2015-07-02 |
| 1982097804 | Miller Orthopaedic Affiliates PC | Durable Medical Equipment & Medical Supplies | 16221 Evans Plz, Omaha, NE 68116-6444 | 2015-03-17 |
| 1295132157 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17500 Burke St Ste 100, Omaha, NE 68118-2244 | 2014-11-20 |
| Find all providers in OMAHA | ||||
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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.