JACKSON MEDICAL PRODUCTS, LLC (NPI# 1407100274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407100274 |
| Entity Type | Organization |
| Organization Name | JACKSON MEDICAL PRODUCTS, LLC |
| Practice Address |
77 Business Park Dr Lebanon TN 37090-1237 |
| Practice Telephone | 8774533531 |
| Practice Fax Number | 8554533541 |
| Mailing Telephone | 8774533531 |
| Mailing Fax Number | 8554533541 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MR. MICHAEL CAMPBELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6155175350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0511759 | TN | Suppliers |
| Street Address |
77 BUSINESS PARK DR |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1558386771 | Andre C Olivier | Internal Medicine | 100 Physicians Way, Suite 300, Lebanon, TN 37090 | 2006-07-12 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| Find all providers in zip 37090 | ||||
| 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 |
|---|---|---|---|---|
| 1669024972 | Advanced Dme, LLC | Durable Medical Equipment & Medical Supplies | 1432 W Main St Ste 103, Lebanon, TN 37087-1329 | 2019-07-16 |
| 1972164424 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 988 Isabel Dr, Lebanon, PA 17042-7483 | 2019-06-25 |
| 1528560786 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | Po Box 1148, Lebanon, VA 24266-1148 | 2018-03-05 |
| 1356849301 | Loeco LLC | Durable Medical Equipment & Medical Supplies | 1123 N Castle Heights Ave Ste L, Lebanon, TN 37087-5725 | 2018-01-24 |
| 1316455587 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | 206 Pruner St, Lebanon, VA 24266-4210 | 2018-01-22 |
| 1992073936 | Rmi, Incorporated | Durable Medical Equipment & Medical Supplies | 2220 N Lebanon St, Lebanon, IN 46052-1109 | 2011-12-06 |
| 1588946776 | Synergy Respiratory Care | Durable Medical Equipment & Medical Supplies | 1165 S Park St, Lebanon, OR 97355-3452 | 2011-09-13 |
| 1285933598 | Mobility One LLC | Durable Medical Equipment & Medical Supplies | 930 Meily St, Lebanon, PA 17046-2855 | 2011-03-25 |
| 1275767584 | Homewell Medical Inc | Durable Medical Equipment & Medical Supplies | 360 N Mount Zion Rd, Suite D, Lebanon, IN 46052-8330 | 2009-05-14 |
| 1801030663 | Apple Independence Mobility LLC | Durable Medical Equipment & Medical Supplies | 1152 Pine St, Lebanon, TN 37087-3769 | 2009-04-23 |
| Find all providers in LEBANON | ||||
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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.