FIRST SOURCE CATHETER, INC. (NPI# 1548700024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548700024 |
Entity Type | Organization |
Organization Name | FIRST SOURCE CATHETER, INC. |
Practice Address |
1690 Redi Rd Suite 400 Cumming GA 30040-9704 |
Practice Telephone | 4708392904 |
Practice Fax Number | 4708392179 |
Mailing Telephone | 4708392904 |
Enumeration Date | 2017-03-02 |
Last Update Date | 2018-03-26 |
Authorized Official Name | CHRIS MALCOM (PRESIDENT) |
Authorized Official Telephone | 4708392904 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003199056A | 05 |
Street Address |
1690 REDI RD SUITE 400 |
City | CUMMING |
State | GA |
Zip Code | 30040-9704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
Find all providers in zip 30040 |
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 |
---|---|---|---|---|
1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
1699272765 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 5550 Bethelview Rd, Cumming, GA 30040 | 2018-04-06 |
1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
1104240886 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2395 Peachtree Pkwy, Cumming, GA 30041-7227 | 2014-02-14 |
1598019002 | Southern Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2535 Bent Creek Way, Cumming, GA 30041-6342 | 2012-11-06 |
1346537230 | Custom Compression Consultants, LLC | Durable Medical Equipment & Medical Supplies | 4925 Ashbrooke Ct, Cumming, GA 30040-9092 | 2011-06-30 |
1255568630 | North Georgia Medical Solutions Corp. | Durable Medical Equipment & Medical Supplies | 6325 Hawkins Drive, Cumming, GA 30028-7544 | 2009-06-12 |
1235365396 | Ageless Design Inc. | Durable Medical Equipment & Medical Supplies | 3197 Trout Place Rd, Cumming, GA 30041-8260 | 2009-06-03 |
1457505760 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4895 Post Rd., Cumming, GA 30040 | 2008-11-13 |
1083879571 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 450 Peachtree Pkwy, Cumming, GA 30041-6818 | 2008-07-23 |
Find all providers in CUMMING |
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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.