JAYMARK MEDICAL (NPI# 1023164779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023164779 |
| Entity Type | Organization |
| Organization Name | JAYMARK MEDICAL |
| Practice Address |
369 Adams Ridge Ln Woodbury TN 37190-6505 |
| Practice Telephone | 6155639501 |
| Practice Fax Number | 6155639502 |
| Mailing Telephone | 6155639501 |
| Mailing Fax Number | 6155639502 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES L ADKINS (PARTNER) |
| Authorized Official Telephone | 6155639501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0301400001 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHEILD | 0143558 | 01 |
| TN | MEDICARE NCS ID NUMBER | 0301400001 | 01 |
| TN | 1450018 | 05 |
| Street Address |
369 ADAMS RIDGE LN |
| City | WOODBURY |
| State | TN |
| Zip Code | 37190-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1255407219 | Catherine Lorraine Levi | Physical Therapy Assistant | 119 West High Street, Woodbury, TN 37190 | 2006-11-28 |
| 1669807830 | Heather J Melton | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190 | 2013-09-06 |
| 1639245681 | James L Mayes | Physical Therapist | 324 Doolittle Rd, Woodbury, TN 37190 | 2006-11-28 |
| 1811063878 | Melisa Johnson Curtis | Physical Therapy Assistant | 324 Doolittle Rd, Stones River Hospital Inpatient Rehab, Woodbury, TN 37190 | 2006-11-28 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1437148905 | Darryl T Deason | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-18 |
| 1629067855 | Andrew P Bucher | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-20 |
| 1003360793 | Woodbury Dental Partners | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2016-08-10 |
| 1407000417 | Darryl T Deason | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2008-11-05 |
| Find all providers in zip 37190 | ||||
| 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 |
|---|---|---|---|---|
| 1366900391 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 410 Dromedary St, Woodbury, GA 30293-3560 | 2019-03-08 |
| 1972084044 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1925 Woodwinds Dr Ste N1-055, Woodbury, MN 55125-4445 | 2018-08-27 |
| 1134478829 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1811 Weir Dr Ste 275, Woodbury, MN 55125-2201 | 2012-09-10 |
| 1477812287 | Soho Hair and Wigs | Durable Medical Equipment & Medical Supplies | 755 Bielenberg Dr, Suite 104, Woodbury, MN 55125-4433 | 2012-05-14 |
| 1871812032 | Integrated Dme LLC | Durable Medical Equipment & Medical Supplies | 2818 Eagle Valley Dr, Woodbury, MN 55129-4263 | 2010-05-26 |
| 1700010170 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Cooper St, Woodbury, NJ 08096-2598 | 2009-05-13 |
| 1023269834 | S & K Alternatives, LLC | Durable Medical Equipment & Medical Supplies | 7030 Valley Creek Plz Ste 113, Woodbury, MN 55125-2267 | 2008-10-10 |
| 1336317247 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1815 Radio Dr, Woodbury, MN 55125-9415 | 2008-02-13 |
| 1265562292 | Angelini Optics, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Clements Bridge Rd, Woodbury, NJ 08096-2010 | 2007-03-07 |
| 1447342175 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 25 E Red Bank Ave, Woodbury, NJ 08096-1610 | 2006-09-29 |
| Find all providers in WOODBURY | ||||
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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.