EAGLE SYSTEMS TECHNOLOGY, INC. (NPI# 1619416021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619416021 |
| Entity Type | Organization |
| Organization Name | EAGLE SYSTEMS TECHNOLOGY, INC. |
| Practice Address |
8596 Farmington Blvd Building 2 Germantown TN 38139-3331 |
| Practice Telephone | 9017583306 |
| Mailing Telephone | 9017583306 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | MR. RAY SCOTT (OWNER) |
| Authorized Official Telephone | 9017583306 |
| 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 |
|---|---|---|---|
| TN | TENN CARE | 1619416021 | 01 |
| Street Address |
8596 FARMINGTON BLVD BUILDING 2 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38139-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902163603 | Whitney Claire Howarth Wilson | Speech-Language Pathologist | 8596 Farmington Blvd, Germantown, TN 38139-3331 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582598 | Nutrition Wellness | Nutritionist | 9494 Fox Hill Circle N., Germantown, TN 38139 | 2019-08-05 |
| 1083952600 | Christopher Gilbert | Pharmacist | 2835 Kirby Parkway, Memphis, TN 38139 | 2013-01-17 |
| 1750582292 | Amy Louise Thompson | Speech-Language Pathologist | 8591 Sycamore Trail Dr, Germantown, TN 38139 | 2007-05-31 |
| 1881895480 | Gerald W. Bock | Specialist | 8573 Cordes Circle, Germantown, TN 38139 | 2007-05-30 |
| 1215081120 | Jeffrey Ward Frost | Chiropractor | 9947 Wolf River, Suite 105, Germantown, TN 38139 | 2007-01-22 |
| 1720173859 | Mid South Neurology Clinic Pllc | Psychiatry & Neurology | 8584 Cordes Circle, Germantown, TN 38139 | 2006-10-04 |
| 1972614295 | Miguel Pulido | Dentist | 8590 Farmington Blvd, Suite 5, Germantown, TN 38139 | 2006-08-31 |
| 1467092932 | Mshn Enterprises LLC | Home Health Aide | 8584 Cordes Cir, Germantown, TN 38139-3317 | 2020-01-13 |
| 1356624506 | Addiction & Mental Health Services, LLC | Clinic/Center | 8566 Cordes Cir, Memphis, TN 38139-3317 | 2011-09-23 |
| 1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
| Find all providers in zip 38139 | ||||
| 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 |
|---|---|---|---|---|
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1619439346 | Rest Assured | Durable Medical Equipment & Medical Supplies | 11902 Weybridge Ln, Germantown, MD 20876-2601 | 2019-04-02 |
| 1518479831 | Methodist Healthcare-memphis Hospitals | Durable Medical Equipment & Medical Supplies | 7705 Poplar Ave Ste 170, Germantown, TN 38138-3969 | 2017-10-26 |
| 1457886558 | Upton Care Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12800 Middlebrook Rd # 112a, Germantown, MD 20874-5204 | 2017-04-26 |
| 1669924049 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 8000 Wolf River Blvd Ste 102, Germantown, TN 38138-1756 | 2016-11-01 |
| 1487025052 | Svetlana Malinsky, Dpm PC | Durable Medical Equipment & Medical Supplies | 20410 Observation Dr Ste 210, Germantown, MD 20876-6422 | 2015-10-08 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1023438538 | Byram Healthcare Centers, Inc. | Durable Medical Equipment & Medical Supplies | 7475 Mcvay Station Ct, Suite 108, Germantown, TN 38138-2592 | 2014-04-23 |
| 1982049144 | Centrad Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8549 Cordes Cir, #100, Germantown, TN 38139-3370 | 2013-05-01 |
| 1831482298 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | W168n11237 Western Avenue, Germantown, WI 53022-3239 | 2011-05-18 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38139 |
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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.