PROFESSIONAL HEALTH SERVICES INC (NPI# 1720483696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720483696 |
Entity Type | Organization |
Organization Name | PROFESSIONAL HEALTH SERVICES INC |
Other Organization Name | HUMAN PERFORMANCE AND REHAB |
Practice Address |
4351 Ridgemont Dr Ste C Abilene TX 79606-8746 |
Practice Telephone | 3256954244 |
Practice Fax Number | 3256984547 |
Mailing Telephone | 3256954244 |
Mailing Fax Number | 3256984547 |
Enumeration Date | 2014-11-04 |
Last Update Date | 2017-01-18 |
Authorized Official Name | MR. KENNETH G. LAIN (PRESIDENT / ADMINISTRATOR) |
Authorized Official Telephone | 3256954244 |
Authorized Official Credential | PHD |
Is Organization Subpart | Y |
Parent Organization Name | PROFESSIONAL HEALTH SERVICES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Human Performance and Rehab | Doing Business As Name - Organization |
Street Address |
4351 RIDGEMONT DR STE C |
City | ABILENE |
State | TX |
Zip Code | 79606-8746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407852924 | Timothy Melton | Chiropractor | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8746 | 2005-06-21 |
1255947826 | Rebecca Joanne Garcia | Nurse Practitioner | 4351 Ridgemont Dr, Abilene, TX 79606-8746 | 2020-09-19 |
1548726508 | Integrated Pain Associates | Anesthesiology | 4351 Ridgemont Dr, Abilene, TX 79606-8746 | 2019-02-14 |
1699142810 | Bryan Blare | Physical Therapist | 4351 Ridgemont Dr, Abilene, TX 79606-8746 | 2015-08-24 |
1063801637 | Brandon Hawk | Specialist/Technologist | 4351 Ridgemont Dr, Abilene, TX 79606-8746 | 2015-01-20 |
1770923294 | Jennifer L. Johnson, Md Pllc | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2013-06-28 |
1396084638 | Abby Dudensing | Physical Therapist | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8746 | 2013-02-06 |
1073787024 | Jennifer Leigh Johnson | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2008-04-21 |
1588693782 | Daniel L. Munton, Md Pa | Physical Medicine & Rehabilitation | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8746 | 2006-07-01 |
1043261688 | Daniel L Munton | Physical Medicine & Rehabilitation | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8746 | 2006-05-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
Find all providers in zip 79606 |
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 |
---|---|---|---|---|
1255874145 | Kenneth Glenn Lain | Durable Medical Equipment & Medical Supplies | 4351 Ridgemont Dr Ste C, Abilene, TX 79606-8747 | 2016-11-23 |
1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
1073904637 | Miracle Deeds Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 729 S Leggett Dr, Abilene, TX 79605-3831 | 2015-02-18 |
1194080267 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1005 N. Judge Ely Blvd., Abilene, TX 79601-3853 | 2012-07-05 |
1144516956 | Travis Medical Sales Corp | Durable Medical Equipment & Medical Supplies | 4397 Crawford Dr, Abilene, TX 79602-7827 | 2011-06-21 |
1497055826 | Amy Nicole Cowart | Durable Medical Equipment & Medical Supplies | 1233 Tracy Lynn St, Suite C, Abilene, TX 79601-6249 | 2010-11-02 |
1992020135 | Texas Oxycare, Inc. | Durable Medical Equipment & Medical Supplies | 2401 S Willis St Ste 107, Abilene, TX 79605-6248 | 2010-03-31 |
1487787529 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 4545 Hartford St, Abilene, TX 79605-4602 | 2007-03-14 |
1871637231 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 3474 Catclaw Dr, Suite A-catclaw Shopping Cemter, Abilene, TX 79606-8234 | 2007-02-19 |
1770664203 | Auburn Pharmacy Abilene LLC | Durable Medical Equipment & Medical Supplies | 1518 N Buckeye Ave, Abilene, KS 67410-1538 | 2006-10-18 |
Find all providers in ABILENE |
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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.