CLEAR CHOICE MEDICAL DISTRIBUTION LLC (NPI# 1629204185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629204185 |
| Entity Type | Organization |
| Organization Name | CLEAR CHOICE MEDICAL DISTRIBUTION LLC |
| Other Organization Name | KELVIN R. WILLIAMS, SOLE MEMBER |
| Practice Address |
8868 Research Blvd Ste. 302 Austin TX 78758-6401 |
| Practice Telephone | 5123264714 |
| Practice Fax Number | 5123264700 |
| Mailing Telephone | 5123264714 |
| Mailing Fax Number | 5123264700 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2011-05-31 |
| Authorized Official Name | MRS. TERESA C WILLIAMS (ADMINISTRATION) |
| Authorized Official Telephone | 5123264714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1000050 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168772501 | 05 | |
| TX | 168772502 | 05 |
| Other Name | Type Code |
|---|---|
| Kelvin R. Williams, Sole Member | Other Name - Individual/Organization |
| Street Address |
8868 RESEARCH BLVD STE. 302 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548278716 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 8868 Research Blvd, Suite 107, Austin, TX 78758-6497 | 2006-08-04 |
| 1376935718 | Reynaldo Oscar Martinez | Physical Therapy Assistant | 8868 Research Blvd, Austin, TX 78758-6497 | 2015-02-23 |
| 1659762284 | Angela Engle | Physical Therapy Assistant | 8868 Research Blvd, Suite 601, Austin, TX 78758-6497 | 2015-02-18 |
| 1780926394 | Sierra Sasser | Physical Therapist | 8868 Research Blvd, Ste. 601, Austin, TX 78758-6497 | 2013-03-21 |
| 1053698316 | Terri Lynn Peiskee | Occupational Therapist | 8868 Research Blvd, Suite 601, Austin, TX 78758-6497 | 2011-11-14 |
| 1770765307 | Grethe E Wik | Preventive Medicine | 8868 Research Blvd, Suite 601, Austin, TX 78758-6497 | 2007-12-05 |
| 1114106481 | Kelvin R. Williams | Durable Medical Equipment & Medical Supplies | 8868 Research Blvd, Ste 406, Austin, TX 78758-6497 | 2007-11-02 |
| 1568651263 | American Current Care P.a. | Clinic/Center | 8868 Research Blvd, Suite 601, Austin, TX 78758 | 2007-10-18 |
| 1942329776 | Charles Hinman | Physician Assistant | 8868 Research Blvd, Suite 601, Austin, TX 78758-6497 | 2007-03-29 |
| 1316066632 | Harinder K Dhir | Preventive Medicine | 8868 Research Blvd, Suite 601, Austin, TX 78758-6497 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| 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 |
|---|---|---|---|---|
| 1982210548 | Pro Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 8617 Spicewood Springs Rd Apt 246, Austin, TX 78759-4358 | 2020-09-18 |
| 1770109308 | Onyx Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2512 S Ih 35 Ste 130, Austin, TX 78704-5750 | 2020-06-19 |
| 1467076802 | Affordable Dme LLC | Durable Medical Equipment & Medical Supplies | 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 | 2020-06-02 |
| 1518589571 | Lotus Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2109 Fortview Rd, Austin, TX 78704-7511 | 2020-05-13 |
| 1639790066 | Fortify Medical Devices & Supplies | Durable Medical Equipment & Medical Supplies | 2106 W Ben White Blvd, Austin, TX 78704-7521 | 2020-04-27 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1548813660 | 360 Wound Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 10713 N Ranch Road 620 Ste 513, Austin, TX 78726-1771 | 2019-07-17 |
| 1437701067 | Fitmelon LLC | Durable Medical Equipment & Medical Supplies | 4201 Monterey Oaks Blvd Apt 1316, Austin, TX 78749-1031 | 2019-07-13 |
| 1508424409 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 W Parmer Ln Ste 120, Austin, TX 78727-4232 | 2019-06-05 |
| Find all providers in AUSTIN | ||||
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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.