PATRIOT MEDICAL SUPPLIES LLC (NPI# 1548561848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548561848 |
| Entity Type | Organization |
| Organization Name | PATRIOT MEDICAL SUPPLIES LLC |
| Practice Address |
1357 Ponderosa Ave Green Bay WI 54313-5944 |
| Practice Telephone | 9202657577 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | CHRISTOPHER GIERKE (OWNER) |
| Authorized Official Telephone | 9202657577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1357 PONDEROSA AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-5944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| 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 |
|---|---|---|---|---|
| 1417411679 | Nein Schnarchen Inc | Durable Medical Equipment & Medical Supplies | 1401 Kingston Ter, Green Bay, WI 54302-5405 | 2019-01-22 |
| 1932696101 | Athletic & Therapeutic Institute of Milwaukee LLC | Durable Medical Equipment & Medical Supplies | 2304 Lineville Rd Ste 112, Green Bay, WI 54313-8805 | 2018-04-13 |
| 1033521018 | Bel-regional Home Medical Inc. | Durable Medical Equipment & Medical Supplies | 508 S Military Ave, Green Bay, WI 54303-2210 | 2014-05-27 |
| 1578973343 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 102 N Washington St, Green Bay, WI 54301-4209 | 2014-05-02 |
| 1871877803 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 975 Parkview Rd, Ste 1, Green Bay, WI 54304-5504 | 2011-10-10 |
| 1306134655 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 930 Main Street, Green Bay, WI 54301-4806 | 2011-07-20 |
| 1932422250 | Keith's Haircenter, LLC | Durable Medical Equipment & Medical Supplies | 904 S Military Ave, Green Bay, WI 54304-2115 | 2010-03-02 |
| 1811132830 | Modern Eyes Ltd. | Durable Medical Equipment & Medical Supplies | 2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 | 2008-12-04 |
| 1720251838 | Victoria L Cornelius | Durable Medical Equipment & Medical Supplies | 2751 N Packerland Dr, #103, Green Bay, WI 54303-4855 | 2008-04-09 |
| 1912180894 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 116 N Military Ave, Green Bay, WI 54303-3202 | 2007-12-13 |
| Find all providers in GREEN BAY | ||||
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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.