LIBERTY MEDICAL SPECIALTIES, INC (NPI# 1891852323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891852323 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL SPECIALTIES, INC |
| Practice Address |
1120 Ocean Hwy West Supply NC 28462 |
| Mailing Address |
Po Box 339 Whiteville NC 28472-0339 |
| Practice Telephone | 9107550023 |
| Mailing Telephone | 9106422250 |
| Mailing Fax Number | 9106420109 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | MRS. TAMARA LYNN JONES (BILLING MANAGER) |
| Authorized Official Telephone | 9106422250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704895 | 05 | |
| NC | BCBS | 0476T | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171800 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 2224 South 17th Street, Wilmington, NC 28401 | 2007-05-09 |
| 1538373824 | Liberty Medical Specialties, Inc | Pharmacy | 612-10 E Jefferson Street, Whiteville, NC 28472 | 2007-05-09 |
| 1740347285 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1804 Owen Dr, Fayetteville, NC 28304-3421 | 2007-01-03 |
| 1952468472 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 4221 Garrett Rd, Unit # 10, Durham, NC 27707-3467 | 2007-01-03 |
| 1710043989 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 813 E Roosevelt Blvd Ste H, Monroe, NC 28112-5169 | 2006-12-29 |
| 1104921998 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 612-10 E Jefferson St, Whiteville, NC 28472 | 2006-09-14 |
| 1760587927 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 113 W Fire Tower Rd, Suite Q, Winterville, NC 28590-8377 | 2006-09-13 |
| 1790841955 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1007 Lexington Ave, Thomasville, NC 27360-3540 | 2006-12-29 |
| 1780740969 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 202 Penny Ln, Unit D, Morehead City, NC 28557-4305 | 2006-12-29 |
| Street Address |
1120 OCEAN HWY WEST |
| City | SUPPLY |
| State | NC |
| Zip Code | 28462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910943 | Lisa M Jock | Technician | 1276 Skipper Run Sw, Supply, NC 28462 | 2019-09-09 |
| 1023532686 | Novant Health Brunswick Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 13 Medical Campus Drive, Suite 101, Supply, NC 28462 | 2017-07-26 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1831461920 | Reginald Lofton Hewett | Counselor | 1473 Cedar Grove Rd, Supply, NC 28462 | 2012-02-03 |
| 1760793343 | Coastal Hearing Centers, Inc | Clinic/Center | 2298 Ocean Hwy, Supply, NC 28462 | 2010-06-29 |
| 1083943567 | Lorell Sneeden Pait | Nurse Practitioner | 795 Ocean Highway West, Supply, NC 28462 | 2009-12-14 |
| 1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
| 1467672873 | South Atlantic Radiation Oncology, LLC | Clinic/Center | 545 Ocean Highway West, Supply, NC 28462 | 2007-04-26 |
| 1225177702 | Barbara C Bauer | Counselor | 1041 Old Ocean Highway, Supply, NC 28462 | 2007-02-05 |
| 1720014012 | Coastal Gastroenterology Pllc | Internal Medicine | 3 Medical Center Drive, Supply, NC 28462 | 2006-06-25 |
| Find all providers in zip 28462 | ||||
| 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 |
|---|---|---|---|---|
| 1013937226 | Associated Medical Specialists, Pa | Durable Medical Equipment & Medical Supplies | 7 Medical Center Dr, Supply, NC 28462-3350 | 2006-07-20 |
| 1750627790 | Orthowilmington, Pa | Durable Medical Equipment & Medical Supplies | 18 Doctors Cir, Suite 1, Supply, NC 28462-4089 | 2012-12-19 |
| 1750337044 | Carolina Healthcare Products, Inc | Durable Medical Equipment & Medical Supplies | 20 Medical Campus Dr, Suite 102, Supply, NC 28462-4094 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225864 | Tommy Mcneill | Durable Medical Equipment & Medical Supplies | 3602 Laurel Creek Way, Durham, NC 27712-2982 | 2020-11-08 |
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1306445648 | Good Hope Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 | 2020-10-19 |
| 1548876006 | Classified Group Ltd | Durable Medical Equipment & Medical Supplies | 520 Lake Holding St, Wake Forest, NC 27587-6856 | 2020-09-21 |
| 1518573468 | Joemax Healthcare Services LLC | Durable Medical Equipment & Medical Supplies | 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 | 2020-09-16 |
| 1023623303 | Vanity Allure X Ylh Beautique Salon Suites LLC | Durable Medical Equipment & Medical Supplies | 405 Blandwood Ave, Greensboro, NC 27401-2705 | 2020-09-13 |
| 1356954556 | Ramona Strong | Durable Medical Equipment & Medical Supplies | 104 Lynden Ln, New Bern, NC 28560-8552 | 2020-08-26 |
| 1104438506 | Murphy Medical Supply | Durable Medical Equipment & Medical Supplies | 12520 Capital Blvd Ste 401-114, Wake Forest, NC 27587-4659 | 2020-08-18 |
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.