COMMUNITY MEDICAL SUPPLY LLC (NPI# 1952507659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952507659 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SUPPLY LLC |
| Practice Address |
4062 Hixson Pike Chattanooga TN 37415-3110 |
| Practice Telephone | 4238779332 |
| Practice Fax Number | 4238779332 |
| Mailing Telephone | 4238779332 |
| Mailing Fax Number | 4238779332 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDDIE D JENKINS (CO-OWNER) |
| Authorized Official Telephone | 4238779332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495263 | Community Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2006-02-09 |
| Street Address |
4062 HIXSON PIKE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37415-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356314454 | Access Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2006-02-09 |
| 1205455268 | Jacob Standefer | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2020-04-10 |
| 1225657224 | Sarah Elizabeth Casey | Pharmacy Technician | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2020-04-10 |
| 1275152274 | Stephanie Renee Bledsoe | Pharmacy Technician | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2020-04-10 |
| 1033545694 | Milou Steel Young | Nurse Practitioner | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2013-09-16 |
| 1952655920 | Jordan Thomas Morrison | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2012-10-30 |
| 1225269376 | Karen Cheree Jacobs | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2009-08-06 |
| 1447485875 | Max Brady Standefer | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2009-05-29 |
| 1457590952 | Michelle G. Hooton | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2009-02-07 |
| 1790989887 | Phillip Jason Smith | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
| 1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
| 1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
| 1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| Find all providers in zip 37415 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437646171 | Amputee Solutions LLC | Prosthetic/Orthotic Supplier | 7401 E Brainerd Rd Ste 140, Chattanooga, TN 37421-3194 | 2018-04-18 |
| 1417451048 | The Plastic Surgery Group,pc | Prosthetic/Orthotic Supplier | 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421-3188 | 2018-03-20 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1669655999 | Dynamic Prosthetic & Orthotic, LLC | Prosthetic/Orthotic Supplier | 2116 Mccallie Ave, Chattanooga, TN 37404-3118 | 2007-12-10 |
| 1538357660 | P.s. Nails and Etc | Prosthetic/Orthotic Supplier | 480 Greenway View Dr, Suite 119, Chattanooga, TN 37411-5693 | 2007-10-15 |
| 1689891186 | Tara L Hewlett-bryant | Prosthetic/Orthotic Supplier | 557 N Willow St, Chattanooga, TN 37404-2233 | 2007-04-19 |
| 1225162548 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 815 Brookhollow Ln, Chattanooga, TN 37421-4585 | 2007-03-16 |
| 1417055732 | Stubbs Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 5715 Uptain Rd Ste 5800, Chattanooga, TN 37411-5655 | 2006-09-20 |
| 1275571606 | Fillauer Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2710 Amnicola Hwy, Chattanooga, TN 37406-3603 | 2006-06-04 |
| 1053395780 | Stubbs Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 5715 Uptain Rd, Suite 5800, Chattanooga, TN 37411-5511 | 2005-12-06 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37415 |
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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.