MATRIX WOUND SUPPLY (NPI# 1891036117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891036117 |
| Entity Type | Organization |
| Organization Name | MATRIX WOUND SUPPLY |
| Practice Address |
480 Pierce St Suite 101 Kingston PA 18704-5512 |
| Practice Telephone | 5708854485 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | JACQUELINE ROSENCRANS (PARTNER) |
| Authorized Official Telephone | 5708854485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
480 PIERCE ST SUITE 101 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451591 | Paul Thomas Taren | Psychologist | 480 Pierce St, Suite 115, Kingston, PA 18704-5512 | 2005-07-20 |
| 1649881665 | Jamie Judge | Social Worker | 480 Pierce St, Kingston, PA 18704-5512 | 2020-08-13 |
| 1275981573 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 480 Pierce St, 316-317, Kingston, PA 18704-5512 | 2016-05-26 |
| 1174971527 | Griswold International, LLC | In Home Supportive Care | 480 Pierce St, Kingston, PA 18704-5512 | 2016-05-26 |
| 1144578758 | Diana Cuello | Psychologist | 480 Pierce St, Suite 305, Kingston, PA 18704-5512 | 2012-08-29 |
| 1508111881 | Debra A Pavlico | Counselor | 480 Pierce St, New Bridge Center, Suite 206, Kingston, PA 18704-5512 | 2012-07-23 |
| 1699034934 | Stephen M. Timchack, Psyd, P.C. | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2012-05-07 |
| 1467723866 | Blaum Breast Care Specialist LLC | Surgery | 480 Pierce St, New Bridge Center, Suite #312-314, Kingston, PA 18704-5512 | 2012-01-18 |
| 1699912691 | Abby Russin, Ph.d., LLC | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5756 | 2009-01-13 |
| 1023281557 | Stephen M Timchack | Counselor | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1821581604 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 250 Pierce St Ste 103, Kingston, PA 18704-5149 | 2018-06-07 |
| 1972091494 | Yvonne James Enterprises LLC | Durable Medical Equipment & Medical Supplies | 26129 Calvary Ln Ne Ste 200, Kingston, WA 98346-7405 | 2018-04-30 |
| 1265734859 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 416 Washington Avenue, Kingston, NY 12401 | 2010-12-02 |
| 1164755153 | Bg Management Group LLC | Durable Medical Equipment & Medical Supplies | 1284 Flatbush Road, Kingston, NY 12402 | 2009-09-09 |
| 1881753697 | Premier Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 285 Wyoming Ave, Kingston, PA 18704-3501 | 2006-12-07 |
| 1265505549 | The Diabetic Super Store Inc | Durable Medical Equipment & Medical Supplies | 164 E Race St, Kingston, TN 37763-2823 | 2006-11-16 |
| 1255417218 | 3-j Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 709 Highway 70 E, Kingston, OK 73439-8253 | 2006-10-31 |
| 1841373602 | Joy M. Bernhardt Dba Heritage Hills Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 709 Highway 70 East, Ste. B, Kingston, OK 73439-0282 | 2006-10-23 |
| 1285733634 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 189 Summer St, Kingston, MA 02364-1247 | 2006-09-22 |
| 1871697623 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1301 Ulster Ave, Kingston, NY 12401-1514 | 2006-09-12 |
| Find all providers in KINGSTON | ||||
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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.