PEGGY LEE MEDINA (NPI# 1952468704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952468704 |
| Entity Type | Individual |
| Full Name | PEGGY LEE MEDINA |
| Practice Address |
1539 Ne F St Grants Pass OR 97526 |
| Mailing Address |
1539 Ne F Street Grants Pass OR 97526 |
| Practice Telephone | 5419567647 |
| Practice Fax Number | 5419568739 |
| Mailing Telephone | 5419567647 |
| Mailing Fax Number | 5419568739 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
1539 NE F ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417184888 | Adaptive Technollogy Assistance LLC | Durable Medical Equipment & Medical Supplies | 2980 Naples Dr, Grants Pass, OR 97527-6178 | 2009-06-12 |
| 1275681553 | Asante Community Services LLC | Durable Medical Equipment & Medical Supplies | 1550 Nw 6th Street, Grants Pass, OR 97526 | 2007-01-05 |
| 1831637537 | Hales Dental Practice, PC | Durable Medical Equipment & Medical Supplies | 781 Ne 7th St, Suite B, Grants Pass, OR 97526-1654 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1134777691 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 16016 Boones Ferry Rd Ste 101, Lake Oswego, OR 97035-4353 | 2019-08-28 |
| 1447757745 | Rss Dain Paxton LLC | Durable Medical Equipment & Medical Supplies | 9735 Sw Shady Ln Ste 201, Tigard, OR 97223-5481 | 2018-04-12 |
| 1003318965 | Norco Inc | Durable Medical Equipment & Medical Supplies | 2770 Sw Cedar Hills Blvd, Beaverton, OR 97005-1355 | 2018-03-06 |
| 1467967372 | Samuel J Higdon Dds PC | Durable Medical Equipment & Medical Supplies | 2250 Nw Flanders St Ste 111, Portland, OR 97210-5409 | 2017-12-14 |
| 1508396326 | Orthopedic Toe Guard | Durable Medical Equipment & Medical Supplies | 611 Ocean Ave., Po Box100, Manzanita, OR 97130-0100 | 2017-06-14 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1982136073 | Jc Medical LLC | Durable Medical Equipment & Medical Supplies | 3553 Vista Heights Ln, Eugene, OR 97405-1260 | 2017-03-29 |
| 1740654466 | Boundless Assistive Technology, LLC | Durable Medical Equipment & Medical Supplies | 7490 Sw Bridgeport Rd, Portland, OR 97224 | 2015-11-18 |
| 1275912578 | Oregon Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 8301 Se 13th Ave, Portland, OR 97202-7101 | 2015-05-20 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on PEGGY LEE MEDINA.
| 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.