MID ATLANTIC MEDICAL LLC (NPI# 1386703460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386703460 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC MEDICAL LLC |
| Practice Address |
207 S Chestnut St Gastonia NC 28054-7177 |
| Practice Telephone | 7048659858 |
| Practice Fax Number | 7048659848 |
| Mailing Telephone | 7048659858 |
| Mailing Fax Number | 7048659848 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RARYMOND C DEFORE (OWNER) |
| Authorized Official Telephone | 7048659858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704261 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Mid Atlantic Medical LLC | 207 S. Chestnut Street, Gastonia, NC 28054 |
| Street Address |
207 S CHESTNUT ST |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1962034835 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 2325 Aberdeen Blvd Ste C, Gastonia, NC 28054-0642 | 2020-02-10 |
| 1528417276 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3350 Robinwood Rd, Gastonia, NC 28054-6689 | 2016-06-03 |
| 1336509363 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 1949 Hoffman Rd, Gastonia, NC 28054-6574 | 2016-03-03 |
| 1326442237 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2324 S New Hope Rd, Gastonia, NC 28054-6508 | 2014-10-21 |
| 1548527039 | Compression Store Inc | Durable Medical Equipment & Medical Supplies | 1980 Chespark Dr, Gastonia, NC 28052-9108 | 2012-04-20 |
| 1558649780 | Scivolutions, Inc. | Durable Medical Equipment & Medical Supplies | 1028 Ramsgate Dr, Gastonia, NC 28056-7535 | 2011-07-21 |
| 1790078202 | Maksix Medical Products Inc | Durable Medical Equipment & Medical Supplies | 2421 N Chester St, Gastonia, NC 28052-1809 | 2011-05-17 |
| 1811280498 | Tlc Group, LLC | Durable Medical Equipment & Medical Supplies | 319 E 2nd Ave, Gastonia, NC 28054 | 2011-05-16 |
| 1558593822 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3658 South New Hope Rd, Gastonia, NC 28056 | 2009-08-19 |
| 1558536318 | Cecilia Agor | Durable Medical Equipment & Medical Supplies | 203 S Trenton St, Gastonia, NC 28052-3812 | 2008-04-23 |
| Find all providers in GASTONIA | ||||
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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.