MEDSOURCE LLC (NPI# 1922264159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922264159 |
| Entity Type | Organization |
| Organization Name | MEDSOURCE LLC |
| Practice Address |
2301 W 1st St Ste 5 Ankeny IA 50023-2470 |
| Mailing Address |
Po Box 1248 Bloomington IL 61702-1248 |
| Practice Telephone | 5159656967 |
| Practice Fax Number | 5159656973 |
| Mailing Telephone | 3096647930 |
| Mailing Fax Number | 3096647931 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | MR. ERIC ROHDE (OWNER) |
| Authorized Official Telephone | 3096647930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203.000461 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0598110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376743922 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 8005 Main St Ste 17, Dexter, MI 48130-1027 | 2007-07-23 |
| 1942389127 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 650 N Girls School Rd Ste C35, Indianapolis, IN 46214-3660 | 2006-11-06 |
| 1275847725 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 414 W Moreland Blvd, Suite 108, Waukesha, WI 53188-2441 | 2010-07-27 |
| 1669795415 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Suite 280d, Lomita, CA 90717-3074 | 2010-03-09 |
| 1134442361 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 8600 W 95th St, Suite 100a, Overland Park, KS 66212 | 2010-03-02 |
| 1730354531 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 700 N Sacramento Blvd, Ste 120, Chicago, IL 60612 | 2008-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MEDSOURCE LLC | 3002 Gill St, Bloomington, IL 61704 |
| Virginia Business Entities | MEDSOURCE LLC | 152 Ridings Cove, Williamsburg, Virginia 23185 |
| Street Address |
2301 W 1ST ST STE 5 |
| City | ANKENY |
| State | IA |
| Zip Code | 50023-2470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038475 | Brandal J Wagener | Counselor | 2301 W 1st St, Ankeny, IA 50023-2470 | 2019-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
| 1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
| 1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
| 1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| Find all providers in zip 50023 | ||||
| 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 |
|---|---|---|---|---|
| 1376025775 | Bio-mechanix Inc | Durable Medical Equipment & Medical Supplies | 702 Sw 4th St Ste 113, Ankeny, IA 50023-2964 | 2018-08-31 |
| 1043556988 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 104 E. 1st St, Ankeny, IA 50021-1703 | 2012-12-21 |
| 1730323478 | Midwest Mobility Solutions | Durable Medical Equipment & Medical Supplies | 2732 Se Delaware Ave Ste 150, Ankeny, IA 50021-9323 | 2009-04-24 |
| 1629222831 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 2409 Se Delaware Ave, Suite 104, Ankeny, IA 50021-4470 | 2008-11-14 |
| 1548456544 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 909 Sw Oralabor Road, Suite 100, Ankeny, IA 50023-7004 | 2007-09-24 |
| 1679652655 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2702 Se Delaware Ave, Ankeny, IA 50021-9308 | 2006-11-02 |
| 1700891017 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 901 N Ankeny Blvd, Ankeny, IA 50023-4002 | 2006-07-29 |
| 1871515510 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2135 Se Delaware Ave, Ankeny, IA 50021-4592 | 2006-07-24 |
| 1942227889 | Tri-med Solutions Inc | Durable Medical Equipment & Medical Supplies | 121 Se Shurfine Dr, Suite 3, Ankeny, IA 50021-5425 | 2006-07-16 |
| 1750308136 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1002 Se National Dr, Ankeny, IA 50021-3996 | 2006-07-16 |
| Find all providers in ANKENY | ||||
Please comment or provide details below to improve the information on MEDSOURCE 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.