ONIC MEDICAL SUPPLY, LLC (NPI# 1902042468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902042468 |
| Entity Type | Organization |
| Organization Name | ONIC MEDICAL SUPPLY, LLC |
| Practice Address |
9811 Mallard Drive Suite 117 Laurel MD 20708 |
| Practice Telephone | 2403916509 |
| Practice Fax Number | 2403916515 |
| Mailing Telephone | 2403916509 |
| Mailing Fax Number | 2403916515 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | MR. HENRY C. EJEMOLE (OPS MANAGER) |
| Authorized Official Telephone | 2403916509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | R2672R | MD | Suppliers |
| Street Address |
9811 MALLARD DRIVE, SUITE 117 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
| Find all providers in zip 20708 | ||||
| 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 |
|---|---|---|---|---|
| 1659971711 | Montpelier Family Dentistry LLC | Durable Medical Equipment & Medical Supplies | 14502 Greenview Dr Ste 100, Laurel, MD 20708-3221 | 2020-10-28 |
| 1164910584 | Awayk Health LLC | Durable Medical Equipment & Medical Supplies | 14440 Cherry Lane Ct Ste 115, Laurel, MD 20707-4946 | 2018-05-01 |
| 1285134098 | Awayk Health, LLC | Durable Medical Equipment & Medical Supplies | 14440 Cherry Lane Ct Ste 112, Laurel, MD 20707-4946 | 2018-02-19 |
| 1861904674 | Lifetime Medical Services | Durable Medical Equipment & Medical Supplies | 312 Marshall Ave Ste 1001b, Laurel, MD 20707-4824 | 2017-11-02 |
| 1467863654 | Doc's Quality Homedical Supplies & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 13600 Baltimore Ave, Suite 702, Laurel, MD 20707-9468 | 2014-05-11 |
| 1457772014 | Miracle Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 111 Ellisville Blvd, Laurel, MS 39440-4519 | 2013-12-30 |
| 1477980811 | Laurel Advanced Medical Equipment | Durable Medical Equipment & Medical Supplies | 1003 Mitchell Dr, Laurel, MS 39440-2548 | 2013-09-30 |
| 1962844209 | Healthcarebahn | Durable Medical Equipment & Medical Supplies | 11106 Snowden Pond Rd, Laurel, MD 20708-3055 | 2013-07-29 |
| 1134473234 | Thomas Pharmacy Gardiner Center, LLC | Durable Medical Equipment & Medical Supplies | 733 Limbert St, Laurel, MS 39440-5246 | 2012-10-29 |
| 1013285840 | Austins Pharmacy Pllc | Durable Medical Equipment & Medical Supplies | 305 S 1st Ave, Laurel, MT 59044-3303 | 2011-12-07 |
| Find all providers in LAUREL | ||||
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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.