PARAGON NUTRITION CARE, LLC (NPI# 1689972960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689972960 |
| Entity Type | Organization |
| Organization Name | PARAGON NUTRITION CARE, LLC |
| Practice Address |
115 Market St E Ste B Fayetteville TN 37334-3092 |
| Practice Telephone | 9314339799 |
| Practice Fax Number | 8664915888 |
| Mailing Telephone | 9314339799 |
| Mailing Fax Number | 8664915888 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |
| Authorized Official Name | MARTIN MCGOVERN (PRESIDENT / CEO) |
| Authorized Official Telephone | 9314339799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| Street Address |
115 MARKET ST E STE B |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790849560 | Kabafusion Ar, LLC | Durable Medical Equipment & Medical Supplies | 2901 E Zion Rd, Ste 11, Fayetteville, AR 72703-5007 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
| 1215319892 | Cumberland Special Care Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3106 Miller Ave Ste 101, Crossville, TN 38555-6118 | 2015-06-19 |
| 1578985842 | Bioscrip Medical Supply Services, LLC | Durable Medical Equipment & Medical Supplies | 5249 Harding Pl, Nashville, TN 37217-2901 | 2014-01-06 |
| 1467783662 | A Plus Health Supplies | Durable Medical Equipment & Medical Supplies | 7478 Crystal Lake Dr, Cordova, TN 38016-8779 | 2010-01-28 |
| 1710216080 | Access Homecare Services, Inc | Durable Medical Equipment & Medical Supplies | 3603 Ringgold Rd # C, Chattanooga, TN 37412-1247 | 2009-12-16 |
| 1538357314 | Oxygen Plus, Corp | Durable Medical Equipment & Medical Supplies | 1804 Patterson St, Nashville, TN 37203-2111 | 2007-10-05 |
| 1295934537 | Little Fish Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 758 Hwy 46 S, Suite 100, Dickson, TN 37055-2556 | 2007-07-17 |
| 1417077058 | Vanguard Healthcare Ancillary Services, LLC | Durable Medical Equipment & Medical Supplies | 6 Cadillac Dr, Suite 310, Brentwood, TN 37027-5080 | 2007-03-29 |
| 1083773584 | Summit View Health Management, Inc. | Durable Medical Equipment & Medical Supplies | 10805 Harding Dr., Knoxville, TN 37932 | 2006-12-08 |
| 1912086182 | Boone Drugs Inc | Durable Medical Equipment & Medical Supplies | 1641 S Shady St, Mountain City, TN 37683-2015 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.