KIRK A DUNCAN (NPI# 1114962784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114962784 |
Entity Type | Organization |
Organization Name | KIRK A DUNCAN |
Other Organization Name | PRO MEDICAL |
Practice Address |
1526 Sam Houston Ave Huntsville TX 77340-4533 |
Practice Telephone | 9362957104 |
Practice Fax Number | 9362956833 |
Mailing Telephone | 9362957104 |
Mailing Fax Number | 9362956833 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2008-02-22 |
Authorized Official Name | KIRK A DUNCAN (OWNER) |
Authorized Official Telephone | 9362957104 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0043769 | TX | Suppliers |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0043769 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUE SHIELD TX | 530715 | 01 |
Other Name | Type Code |
---|---|
Pro Medical | Doing Business As Name - Organization |
Street Address |
1526 SAM HOUSTON AVE |
City | HUNTSVILLE |
State | TX |
Zip Code | 77340-4533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508036864 | Kirk A Duncan | Durable Medical Equipment & Medical Supplies | 1526 Sam Houston Ave, Huntsville, TX 77340-4533 | 2008-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
Find all providers in zip 77340 |
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 |
---|---|---|---|---|
1568083061 | Sonja D Gill, Dds, PC | Durable Medical Equipment & Medical Supplies | 204 Lowe Ave Se Ste 1, Huntsville, AL 35801-4242 | 2020-05-06 |
1508408295 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | Building 3220 Vincent Rd, Huntsville, AL 35898-0001 | 2019-10-14 |
1336641893 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2286 Zierdt Rd Sw, Huntsville, AL 35824-1904 | 2018-03-01 |
1023559473 | Rocket City Medical, LLC | Durable Medical Equipment & Medical Supplies | 109 Marsheutz Ave Sw, Huntsville, AL 35801-4528 | 2017-03-19 |
1487062634 | Dme Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 117 Wholesale Ave Ne, Suite 10, Huntsville, AL 35811-1517 | 2014-07-31 |
1124436100 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4226 Oakwood Ave Nw, Huntsville, AL 35810-4066 | 2014-07-23 |
1164835633 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2421 Sam Houston Ave, Huntsville, TX 77340-5862 | 2014-06-03 |
1053737593 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 310 Pelham Ave Sw, Huntsville, AL 35801-5016 | 2014-03-07 |
1528495843 | Med South, Inc. | Durable Medical Equipment & Medical Supplies | 600 Saint Clair Ave Sw Ste 7, Ste 15, Huntsville, AL 35801-5057 | 2013-10-01 |
1407298193 | North Houston Cancer Clinics Pa | Durable Medical Equipment & Medical Supplies | 3233 Woodward Drive, Huntsville, TX 77340 | 2013-07-23 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 77340 |
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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.