PEACH MEDICAL LLC (NPI# 1871753442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871753442 |
| Entity Type | Organization |
| Organization Name | PEACH MEDICAL LLC |
| Practice Address |
201 Pennsylvania Pkwy #200 Indianapolis IN 46280-2301 |
| Mailing Address |
501 W 62nd St Indianapolis IN 46260-4758 |
| Practice Telephone | 3175778892 |
| Practice Fax Number | 3175778892 |
| Mailing Telephone | 3175778892 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. CLYDE E PEACH JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 3174451475 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200312880A | 05 |
| Street Address |
201 PENNSYLVANIA PKWY #200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960186 | Joel C Boaz | Neurological Surgery | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46260-1393 | 2005-05-27 |
| 1699127134 | Kenna Brown | Occupational Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-07-08 |
| 1487012670 | Mitzi Marie Stephens | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-02-03 |
| 1467825315 | Melissa Schnepp | Specialist/Technologist | 201 Pennsylvania Pkwy, Indianapolis, IN 46280-2301 | 2015-11-01 |
| 1043601263 | Robert Klingshirn | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2015-02-10 |
| 1740678838 | Jeremy Herrmann | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2014-12-26 |
| 1417359845 | April L Priest | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2014-09-17 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| 1194138677 | Emilia M Kareem | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 | 2014-06-03 |
| 1356768402 | Sara Simmons | Specialist/Technologist | 201 Pennsylvania Pkwy, #100, Indianapolis, IN 46280-2301 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
| 1295154110 | Sydney Harman | Anesthesiology | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2014-04-08 |
| Find all providers in zip 46280 | ||||
| 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 |
|---|---|---|---|---|
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1649890849 | Defy Therapeutics LLC | Durable Medical Equipment & Medical Supplies | 6330 East 75th Street, Suite 218, Indianapolis, IN 46250-2700 | 2020-04-17 |
| 1558997049 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 7930 S Emerson Ave Ste 3, Indianapolis, IN 46237-8626 | 2020-03-17 |
| 1528693611 | Ally Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 9247 N Meridian St Ste 106, Indianapolis, IN 46260-1879 | 2020-03-09 |
| 1831720788 | Good for You Enterprises LLC | Durable Medical Equipment & Medical Supplies | 451 Wellington Road, Indianapolis, IN 46260-4619 | 2020-01-30 |
| 1144865338 | Medco Respiratory Instruments, Inc | Durable Medical Equipment & Medical Supplies | 3125 Dandy Trl Ste 216, Indianapolis, IN 46214-1460 | 2019-11-12 |
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1518426204 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5756 W 74th Street, Bldg 112, Indianapolis, IN 46278-1755 | 2019-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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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.