MEDSOURCE LLC


Address: 8600 W 95th St, Suite 100a, Overland Park, KS 66212
Phone: 9134990481

MEDSOURCE LLC (NPI# 1134442361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134442361
Entity Type Organization
Organization Name MEDSOURCE LLC
Practice Address 8600 W 95th St
Suite 100a
Overland Park
KS 66212
Mailing Address Po Box 1248
Bloomington
IL 61702-1248
Practice Telephone 9134990481
Practice Fax Number 9134990482
Mailing Telephone 3096647930
Mailing Fax Number 3096647931
Enumeration Date 2010-03-02
Last Update Date 2018-08-18
Authorized Official Name MR. ERIC ROHDE (OWNER)
Authorized Official Telephone 3096647930
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 16-00299 KS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
KS LICENSE 16-00391 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922264159 Medsource LLC Durable Medical Equipment & Medical Supplies 2301 W 1st St, Ste 5, Ankeny, IA 50023-2470 2008-08-07
1376743922 Medsource LLC Durable Medical Equipment & Medical Supplies 8005 Main St Ste 17, Dexter, MI 48130-1027 2007-07-23
1942389127 Medsource LLC Durable Medical Equipment & Medical Supplies 650 N Girls School Rd Ste C35, Indianapolis, IN 46214-3660 2006-11-06
1275847725 Medsource LLC Durable Medical Equipment & Medical Supplies 414 W Moreland Blvd, Suite 108, Waukesha, WI 53188-2441 2010-07-27
1669795415 Medsource LLC Durable Medical Equipment & Medical Supplies 25835 Narbonne Ave, Suite 280d, Lomita, CA 90717-3074 2010-03-09
1730354531 Medsource LLC Durable Medical Equipment & Medical Supplies 700 N Sacramento Blvd, Ste 120, Chicago, IL 60612 2008-04-23

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities MEDSOURCE LLC 3002 Gill St, Bloomington, IL 61704
Virginia Business Entities MEDSOURCE LLC 152 Ridings Cove, Williamsburg, Virginia 23185

Office Location

Street Address 8600 W 95TH ST
SUITE 100A
City OVERLAND PARK
State KS
Zip Code 66212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407868037 Lynda Robin Morris Dentist 8600 W 95th St, Ste 101, Overland Park, KS 66212 2006-08-12
1285076430 Suzette Michele Gregory Counselor 8600 W 95th St, Suite 104-4, Overland Park, KS 66212-3202 2013-07-29
1427496215 Kameche Andrews Specialist 8600 W 95th St, Overland Park, KS 66212-3202 2013-06-13
1790962884 Tseng-kuo Shiao General Practice 8600 W 95th St, Ste. 210, Overland Park, KS 66212-3201 2008-01-30
1639379043 Wecare Hcbs Home Health 8600 W 95th St, 8600 W. 95th St Overlandpark Ks Suite 104-4, Overland Park, KS 66212-3202 2007-07-23
1760603187 Good Care Inc Durable Medical Equipment & Medical Supplies 8600 W 95th St, Suite # 102, Overland Park, KS 66212-3202 2007-05-02
1699891267 Philip R Jones Social Worker 8600 W 95th St, Suite 105, Overland Park, KS 66212 2007-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598363137 Marva Calder Nurse Practitioner 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 2020-10-15
1518572163 Pathways To Empowerment Marriage & Family Therapist 7180 W. 107th Street, St. 21, Overland Park, KS 66212 2020-09-10
1689287914 Lisa Marie Ambrosek Behavioral Analyst 7725 W 87th Street, Overland Park, KS 66212 2020-08-26
1598221061 Ginger Marie Anderson Massage Therapist 9200 Glewood Street Suite 101, Overland Park, KS 66212 2019-02-20
1508335092 Samantha Nicole Stevens Behavior Technician 7725 W. 87th Street, Overland Park, KS 66212 2018-11-14
1831600360 Kristin Nichols Occupational Therapist 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 2017-10-24
1538529003 Cindy Sykes Social Worker 8402 Lowell Ave, Overland Park, KS 66212 2016-02-26
1265804157 Lauren Spears Psychologist 10100 W 87th St Ste 306, Overland Park, KS 66212 2015-10-30
1699158279 Harbor Hospice of Kansas Lp Hospice Care, Community Based 7223 W 95th St Ste 230, Overland Park, KS 66212 2015-07-01
1982000303 Doolittle & Harrington Healthcare LLC Clinic/Center 10560 Barkley St Ste 340, Overland Park, KS 66212 2014-11-12
Find all providers in zip 66212

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972100055 Medical Service Companies Durable Medical Equipment & Medical Supplies 6720 W 121st St Ste 105, Overland Park, KS 66209-2002 2020-10-02
1164045126 Mid-america Orthopedics Kc LLC Durable Medical Equipment & Medical Supplies 7820 W 165th St, Overland Park, KS 66223-2925 2020-05-26
1780148296 Second Nature LLC Durable Medical Equipment & Medical Supplies 7377 W 97th St, Overland Park, KS 66212-2210 2019-01-29
1366962136 Apex Care Solutions LLC Durable Medical Equipment & Medical Supplies 12917 Hadley St, Overland Park, KS 66213-2747 2017-06-22
1992248785 Walgreen Co Durable Medical Equipment & Medical Supplies 6407 W 119th St, Overland Park, KS 66209-2734 2016-11-28
1730509894 Kansas City Home Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 10400 Metcalf Ave, Overland Park, KS 66212-1806 2014-04-16
1548697428 Willow Medical LLC Durable Medical Equipment & Medical Supplies 7329 W 97th St, Overland Park, KS 66212-2210 2013-10-09
1184060568 Collegiate Medical LLC Durable Medical Equipment & Medical Supplies 6721 W 128th Pl, 104, Overland Park, KS 66209-3842 2013-05-13
1184903445 Apria Healthcare Durable Medical Equipment & Medical Supplies 6050 Sprint Pkwy, Overland Park, KS 66211-1101 2011-08-04
1417273707 Trusted Life Care, Inc. Durable Medical Equipment & Medical Supplies 12850 Metcalf Ave Ste 212, Overland Park, KS 66213-2622 2010-04-13
Find all providers in OVERLAND PARK

Competitor

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City OVERLAND PARK
Zip Code 66212

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Dataset Information

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.

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