VANTAGE DME (NPI# 1104828409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828409 |
| Entity Type | Organization |
| Organization Name | VANTAGE DME |
| Other Organization Name | VANTAGE HOME RESPIRATORY SERVICES |
| Practice Address |
3 Orthopaedic Drive Greenville PA 16125 |
| Practice Telephone | 7245895540 |
| Practice Fax Number | 7245895543 |
| Mailing Telephone | 7245895540 |
| Mailing Fax Number | 7245895543 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RANDAL JAMES POULSON (V.P. REIMBURSEMENT) |
| Authorized Official Telephone | 8133339449 |
| Authorized Official Credential | CRTT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Vantage Home Respiratory Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083942262 | Vantage Dme | Durable Medical Equipment & Medical Supplies | 12634 Rockside Rd, Garfield Heights, OH 44125-4525 | 2009-11-25 |
| 1427001585 | Vantage Dme | Durable Medical Equipment & Medical Supplies | 229 Portersville Rd, Ellwood City, PA 16117-2431 | 2006-05-18 |
| Street Address |
3 ORTHOPAEDIC DRIVE |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205111309 | Quality Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 522 S Raceway Rd, Greenville, MS 38703-3544 | 2011-10-20 |
| 1811295041 | Family Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1038 Wh Smith Blvd, Suite 113, Greenville, NC 27834-5051 | 2011-03-11 |
| 1427388701 | Mobile Med, LLC | Durable Medical Equipment & Medical Supplies | 1247 S Pleasantburg Dr, Greenville, SC 29605-1344 | 2010-01-08 |
| 1255508743 | Sells Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 1609 E Commerce St, Greenville, AL 36037-3402 | 2008-05-13 |
| 1043412299 | Lifehme, Inc. | Durable Medical Equipment & Medical Supplies | 27 Boland Ct, Greenville, SC 29615-5730 | 2007-06-01 |
| 1790996742 | Parker Road Drugs, Inc | Durable Medical Equipment & Medical Supplies | 23 Mohawk Dr, Greenville, SC 29609-5726 | 2007-05-24 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1134152127 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 430 Woodruff Rd Ste 350, Greenville, SC 29607-3495 | 2006-07-10 |
| 1609838721 | Advantage Home Medical Company | Durable Medical Equipment & Medical Supplies | 7002 Pelham Rd, Greenville, SC 29615-5729 | 2006-04-04 |
| 1679553267 | Tribute Companies, Inc. | Durable Medical Equipment & Medical Supplies | 1118 Interstate Highway 30, Greenville, TX 75402-4309 | 2006-01-19 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
Please comment or provide details below to improve the information on VANTAGE DME.
| 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.