ACTION MEDSOURCE, LLC (NPI# 1639355100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639355100 |
| Entity Type | Organization |
| Organization Name | ACTION MEDSOURCE, LLC |
| Practice Address |
3810 Woods Blvd Tyler TX 75707-1677 |
| Mailing Address |
Po Box 131416 Tyler TX 75713-1416 |
| Practice Telephone | 9035304791 |
| Mailing Telephone | 9035304791 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | JASON B RICHARDS (PRESIDENT) |
| Authorized Official Telephone | 9035304791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3810 WOODS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75707-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063916351 | Veronica Miller | Registered Nurse | 3928 Mobley Lane, Tyler, TX 75707 | 2018-03-21 |
| 1023548187 | Juan Fernando Melgoza Jr. | Specialist/Technologist | 13172 Tx-64, Tyler, TX 75707 | 2017-06-12 |
| 1396291969 | The Center At Grande, LLC | Skilled Nursing Facility | 3219 East Grande Blvd, Tyler, TX 75707 | 2016-09-01 |
| 1730432493 | Michelle Tucker | Clinic/Center | 5011 Troup Hwy Ste 100, Tyler, TX 75707 | 2012-10-18 |
| 1275724569 | Johnson Chiropractic Center | Chiropractor | 5400 University Blvd, 103, Tyler, TN 75707 | 2007-08-05 |
| 1104851096 | Raymond F Jordan | Family Medicine | 12295 Hwy. 64 E, Tyler, TX 75707 | 2006-07-11 |
| 1033514096 | David Comins Wheeler | Counselor | 5875 Grace Ave, Tyler, TX 75707-0006 | 2014-11-01 |
| 1497318968 | Haley Lynn Dominy | Licensed Vocational Nurse | 6028 Grace Ave, Tyler, TX 75707-0007 | 2019-04-19 |
| 1710947957 | Doug Hodde | Family Medicine | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2006-03-23 |
| 1851839120 | Trinity Clinic | Clinic/Center | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2017-02-07 |
| Find all providers in zip 75707 | ||||
| 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 |
|---|---|---|---|---|
| 1720698186 | Momentum Dme, LLC | Durable Medical Equipment & Medical Supplies | 121 S Broadway Ave Ste 606, Tyler, TX 75702-7281 | 2020-07-31 |
| 1174166615 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 2961 Elkton Trl Ste D, Tyler, TX 75703-0675 | 2019-10-28 |
| 1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
| 1285006544 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2151 Frankston Hwy, Tyler, TX 75701-3808 | 2015-10-27 |
| 1457722779 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 5976 Old Jacksonville Hwy, Tyler, TX 75703-0582 | 2015-10-13 |
| 1033598065 | Nanovibronix, Ltd | Durable Medical Equipment & Medical Supplies | 977 Pruitt Pl, Tyler, TX 75703-1153 | 2015-05-22 |
| 1871917278 | Roger Rivers | Durable Medical Equipment & Medical Supplies | 16428 Kingston Ct, Tyler, TX 75703-7335 | 2014-02-06 |
| 1417211525 | Fredrick J. Platt, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 2020 Lindbergh Dr, Tyler, TX 75703-1714 | 2012-07-03 |
| 1033490776 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 1825 Troup Hwy, Tyler, TX 75701-5870 | 2011-09-08 |
| 1932495652 | Trinity Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1007 West Gentry Parkway, Tyler, TX 75702 | 2011-06-21 |
| Find all providers in TYLER | ||||
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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.