MINIMED DISTRIBUTION CORP (NPI# 1902063381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902063381 |
| Entity Type | Organization |
| Organization Name | MINIMED DISTRIBUTION CORP |
| Practice Address |
3225 Cumberland Blvd Se Ste 500 Atlanta GA 30339-6407 |
| Mailing Address |
18000 Devonshire St Attn: Angela Ward, Legal Dept Northridge CA 91325-1219 |
| Practice Telephone | 8009333322 |
| Practice Fax Number | 8185766228 |
| Mailing Telephone | 8042626492 |
| Mailing Fax Number | 8185766228 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MS. ANGELA E WARD (SENIOR COMPLIANCE SPECIALIST) |
| Authorized Official Telephone | 8042626492 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINIMED DISTRIBUTION CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000857359A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679861629 | Minimed Distribution Corp | Durable Medical Equipment & Medical Supplies | 39555 Orchard Hill Pl Ste 500, Attn: Angela Ward Jones, Novi, MI 48375-5526 | 2011-07-12 |
| 1205094547 | Minimed Distribution Corp | Durable Medical Equipment & Medical Supplies | 710 Medtronic Pkwy, Attn: Andrea Redfield, Minneapolis, MN 55432-5603 | 2008-05-22 |
| 1447417969 | Minimed Distribution Corp | Durable Medical Equipment & Medical Supplies | 40 Calhoun St, Ste 475, Charleston, SC 29401-3500 | 2008-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MiniMed Distribution Corp. | 18000 Devonshire Street, Northridge, CA 91325 |
| Oregon Corporations, Companies and Business Names | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Washington State Corporations | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Iowa Business Entities | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Connecticut Business Registrations | MINIMED DISTRIBUTION CORP. | 18000 Devonshire Street, Northridge, CA 91325 |
| Indiana Business Entities | MINIMED DISTRIBUTION CORPORATION | 18000 Devonshire St, Attn: Angela Ward, Northridge, CA 91325 |
| Street Address |
3225 CUMBERLAND BLVD SE STE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679536502 | Thomas S Harbin Jr. | Ophthalmology | 3225 Cumberland Blvd Se, Suite 900, Atlanta, GA 30339-6407 | 2006-04-11 |
| 1922490119 | Eye Consultants Hearing Aid Center, LLC | Hearing Aid Equipment | 3225 Cumberland Blvd Se, Ste 900, Atlanta, GA 30339-6407 | 2015-02-24 |
| 1689918898 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 3225 Cumberland Blvd Se, Ste 800, Atlanta, GA 30339-6407 | 2012-11-15 |
| 1831453612 | Erin Ashley Rellinger | Audiologist | 3225 Cumberland Blvd Se, Suite 900, Atlanta, GA 30339-6407 | 2012-06-27 |
| 1447404447 | Derrick C Pau | Ophthalmology | 3225 Cumberland Blvd Se, Suite 900, Atlanta, GA 30339-6407 | 2008-11-05 |
| 1306006721 | Charles Lapeyre Thompson | Ophthalmology | 3225 Cumberland Blvd Se, Suite 900, Atlanta, GA 30339-6407 | 2008-06-10 |
| 1730358037 | Robert Earl Davis | Technician/Technologist | 3225 Cumberland Blvd Se, Suite 800, Atlanta, GA 30339-6407 | 2008-02-21 |
| 1871787820 | Gaye P Bryant | Technician/Technologist | 3225 Cumberland Blvd Se, Suite 800, Atlanta, GA 30339-6407 | 2007-09-04 |
| 1871719385 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 3225 Cumberland Blvd Se, 800, Atlanta, GA 30339-5970 | 2007-04-17 |
| 1770679094 | Eye Consultants of Atlanta, PC | Ophthalmology | 3225 Cumberland Blvd Se, Suite 800 Or 900, Atlanta, GA 30339-6407 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| 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 |
|---|---|---|---|---|
| 1407473002 | Unite Medical, LLC | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1955, Atlanta, GA 30339-6401 | 2020-06-30 |
| 1215550793 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 3103 Clairmont Road, Suite A, Atlanta, GA 30329-1043 | 2020-05-19 |
| 1477173276 | Pillowsheets, LLC | Durable Medical Equipment & Medical Supplies | 2445 Church Rd Se, Atlanta, GA 30339-1967 | 2020-04-21 |
| 1700414729 | All Nations Dme | Durable Medical Equipment & Medical Supplies | 751 Fairburn Rd Sw Apt 4303, Atlanta, GA 30331-8557 | 2020-03-27 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1952931628 | Richard Damon Reed | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1953, Atlanta, GA 30339-6401 | 2020-01-22 |
| 1376180257 | Celebrity Fashion Hair Inc | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1951, Atlanta, GA 30339-6401 | 2019-12-10 |
| 1144864844 | Surgical Evolution LLC | Durable Medical Equipment & Medical Supplies | 4516 Collins Ave, Atlanta, GA 30342-4125 | 2019-11-05 |
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1316594948 | Spinal Supply Partners LLC | Durable Medical Equipment & Medical Supplies | 1440 Chipley St Ne, Atlanta, GA 30307-2815 | 2019-08-19 |
| Find all providers in ATLANTA | ||||
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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.