MEDICAL SUPPORT SERVICES INC (NPI# 1114143781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114143781 |
| Entity Type | Organization |
| Organization Name | MEDICAL SUPPORT SERVICES INC |
| Practice Address |
1100 Commerce Dr Suite 114 Racine WI 53406-3700 |
| Practice Telephone | 2628863431 |
| Practice Fax Number | 2628863954 |
| Mailing Telephone | 2628863431 |
| Mailing Fax Number | 2628863954 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARYANN MAIERS (PRESIDENT) |
| Authorized Official Telephone | 2628863431 |
| Authorized Official Credential | M.S. CCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41205000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790832558 | Medical Support Services Inc | Durable Medical Equipment & Medical Supplies | 1917 Shirlane Pl Ne, Albuquerque, NM 87112-4738 | 2007-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEDICAL SUPPORT SERVICES INC. | 328-b 15th St Se, Washington, District Of Columbia 20003 |
| Street Address |
1100 COMMERCE DR SUITE 114 |
| City | RACINE |
| State | WI |
| Zip Code | 53406-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235440389 | Yalanda Hofmaier | Speech-Language Pathologist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2010-06-23 |
| 1902034739 | Kelly A. Vant | Speech-Language Pathologist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2009-07-01 |
| 1437324290 | Kathryn Sue Hansen | Occupational Therapist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2008-04-23 |
| 1184899056 | Andrea Noel Clark | Physical Therapist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2008-04-23 |
| 1285808147 | Alicia Coreen Mccarten | Specialist | 1100 Commerce Dr, Suite114, Racine, WI 53406-3700 | 2008-04-22 |
| 1235303199 | Elizabeth Morgan | Occupational Therapist | 1100 Commerce Dr, Racine, WI 53406-3700 | 2008-04-22 |
| 1457525487 | Kristine Marie Sova | Physical Therapist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 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.