180 MEDICAL INC (NPI# 1639160708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639160708 |
| Entity Type | Organization |
| Organization Name | 180 MEDICAL INC |
| Practice Address |
8516 Nw Expressway Oklahoma City OK 73162-6010 |
| Practice Telephone | 8776882729 |
| Practice Fax Number | 8887180633 |
| Mailing Telephone | 8776882729 |
| Mailing Fax Number | 8887180633 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. JEFFERY B HENDRIX (CFO) |
| Authorized Official Telephone | 4054432985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1886232576 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008068711 | 05 | |
| NJ | 0198056 | 05 | |
| MN | 717660100 | 05 | |
| MS | 03478309 | 05 | |
| AK | 1021600 | 05 | |
| VT | 1026200 | 05 | |
| ME | 102650016 | 05 | |
| ID | 1639160708-000 | 05 | |
| NH | 3071425 | 05 | |
| KY | 7100096610 | 05 | |
| NV | 1639160708 | 05 | |
| VA | 010082897 | 05 | |
| AR | 152077716 | 05 | |
| OK | 200001560A | 05 | |
| WY | 119251500 | 05 | |
| MO | 625995808 | 05 | |
| NM | 79972896 | 05 | |
| WA | 9055500 | 05 | |
| MD | 001528800 | 05 | |
| NY | 04322405 | 05 | |
| IN | 200505230A | 05 | |
| OH | 2484093 | 05 | |
| MT | 5606991 | 05 | |
| AZ | 842915 | 05 | |
| SD | 9167680 | 05 | |
| DC | 052070200 | 05 | |
| IA | 0578997 | 05 | |
| TN | 4582324 | 05 | |
| RI | 8860001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821344318 | 180 Medical Inc | Durable Medical Equipment & Medical Supplies | 36935 Schoolcraft Rd, Livonia, MI 48150-1162 | 2012-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | 180 MEDICAL INC. | 8516 Nw Expressway, Oklahoma City, Oklahoma 73162 |
| Massachusetts Corporations | 180 MEDICAL INC. | 8516 Nw Expressway, Oklahoma City, OK 73162 |
| Street Address |
8516 NW EXPRESSWAY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| 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 |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1033755426 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103-2612 | 2019-11-21 |
| 1235775628 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13500 S Tulsa Dr Ste 301, Oklahoma City, OK 73170-9721 | 2019-11-21 |
| 1225674617 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3400 S Douglas Blvd Ste 302, Oklahoma City, OK 73150-1018 | 2019-11-21 |
| 1871140822 | Rs Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 8126 W Britton Rd Apt 1, Oklahoma City, OK 73132-1364 | 2019-08-23 |
| 1568015659 | Epic Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1033761366 | Dmeworx LLC | Durable Medical Equipment & Medical Supplies | 3114 Nw 42nd St, Oklahoma City, OK 73112-6224 | 2019-07-16 |
| 1144795634 | Rto Distributors, LLC | Durable Medical Equipment & Medical Supplies | 7725 W Reno Ave Ste 399, Oklahoma City, OK 73127-9712 | 2018-10-10 |
| 1801374822 | Ventilateok LLC | Durable Medical Equipment & Medical Supplies | 4401 Nw 4th St Ste 133, Oklahoma City, OK 73107-6540 | 2018-08-01 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
Please comment or provide details below to improve the information on 180 MEDICAL INC.
| 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.