MEDSOURCE, LLC (NPI# 1801300058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801300058 |
| Entity Type | Organization |
| Organization Name | MEDSOURCE, LLC |
| Practice Address |
1802 Chapel Hills Dr Ste D Colorado Springs CO 80920-3736 |
| Mailing Address |
Po Box 1248 Bloomington IL 61702-1248 |
| Practice Telephone | 7193753299 |
| Mailing Telephone | 8885105100 |
| Mailing Fax Number | 8885105200 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | ERIC ROHDE (OWNER/MANAGING PARTNER) |
| Authorized Official Telephone | 3096647930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 20176001145 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE | 20176001145 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487886537 | Medsource, LLC | Specialist | 3909 Midlands Road, Suite: B, Williamsburg, VA 23188 | 2009-08-21 |
| 1194897553 | Medsource, LLC | Nursing Care | 33 N Garden Ave Ste 800, Clearwater, FL 33755-6614 | 2006-11-14 |
| 1093892044 | Medsource, LLC | Durable Medical Equipment & Medical Supplies | 3002 Gill Street, Bloomington, IL 61704-3438 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MedSource, LLC | 33 N. Garden Avenue, Suite 800, Clearwater, FL 33755 |
| Street Address |
1802 CHAPEL HILLS DR STE D |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| 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 |
|---|---|---|---|---|
| 1174137731 | Wp&h,llc | Durable Medical Equipment & Medical Supplies | 1039 Elkton Dr, Colorado Springs, CO 80907-3539 | 2020-09-01 |
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1295343101 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5825 Delmonico Dr Ste 100, Colorado Springs, CO 80919-2243 | 2020-07-16 |
| 1063030138 | Reliable Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1227 Lake Plaza Dr Ste A, Colorado Springs, CO 80906-7402 | 2020-07-06 |
| 1811548654 | Ricardo Hernandez Gutierrez | Durable Medical Equipment & Medical Supplies | 1623 Jet Wing Dr, Colorado Springs, CO 80916-2258 | 2019-09-23 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1265991681 | Ostomy, Incorporated | Durable Medical Equipment & Medical Supplies | 5314 Montebello Ln, Colorado Springs, CO 80918-1956 | 2019-03-15 |
| 1295208106 | Altitude Medical Supply Company | Durable Medical Equipment & Medical Supplies | 1628 Happiness Dr, Colorado Springs, CO 80909-2518 | 2019-01-03 |
| 1609354323 | Triforce Medical Inc | Durable Medical Equipment & Medical Supplies | 3225 Austin Bluffs Pkwy Ste 120, Colorado Springs, CO 80918-5706 | 2018-08-03 |
| 1578040747 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1795 Jet Wing Dr Ste 2230, Colorado Springs, CO 80916-2332 | 2018-07-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on MEDSOURCE, LLC.
| 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.