SOUTHEAST MEDICAL, INC. (NPI# 1972962132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972962132 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MEDICAL, INC. |
| Practice Address |
314 S Cedar Ave South Pittsburg TN 37380-1306 |
| Mailing Address |
Po Box 674553 Detroit MI 48267-4553 |
| Practice Telephone | 4232285521 |
| Practice Fax Number | 7722124904 |
| Mailing Telephone | 4232285521 |
| Mailing Fax Number | 7722124904 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MR. GARY R. BANG JR. (PRESIDENT & DIRECTOR) |
| Authorized Official Telephone | 7722084067 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABC HOME MEDICAL SUPPLY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 190510 | 05 | |
| TN | Q021745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508394339 | Southeast Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2117 University Blvd, Tuscaloosa, AL 35401 | 2017-05-24 |
| 1427081934 | Southeast Medical, Inc. | Durable Medical Equipment & Medical Supplies | 75 N Main St, Suite 229, Clayton, GA 30525 | 2006-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTHEAST MEDICAL, INC. | 3300 S.w. 46th Ave., Ft. Lauderdale, FL 33314 |
| Street Address |
314 S CEDAR AVE |
| City | SOUTH PITTSBURG |
| State | TN |
| Zip Code | 37380-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942301361 | Lee & Barton Dds | Dentist | 255 Laboratory Rd, Oak Ridge, TN 37380 | 2006-09-26 |
| 1104849397 | Thomas Charles Helm | Dentist | 1904 S Cedar Ave, South Pittsburg, TN 37380 | 2006-07-26 |
| 1710928908 | George Harold Lloyd Jr. | Optometrist | 233 Cedar Ave, South Pittsburg, TN 37380 | 2006-06-09 |
| 1538792825 | Mandy Howard | Nurse Practitioner | 319 Oak Ave, South Pittsburg, TN 37380-1233 | 2020-02-15 |
| 1881136265 | Spectacles Family Eyecare | Optometrist | 233 S Cedar Ave, South Pittsburg, TN 37380-1303 | 2016-11-16 |
| 1194333005 | Body In Rhythm Physical Therapy and Wellness, LLC | Physical Therapist | 325 S Cedar Ave Ste 2, South Pittsburg, TN 37380-1305 | 2020-07-16 |
| 1407250954 | Katie Elizabeth Henson | Physical Therapist | 325 S Cedar Ave # 2, South Pittsburg, TN 37380-1305 | 2014-10-13 |
| 1154580736 | Pediatric Specialists of Marion County Pllc | Pediatrics | 325 South Cedar Ave, Suite 1, South Pittsburg, TN 37380-1305 | 2008-06-09 |
| 1801941539 | Renaissance Health and Surgical Associates, P.C. | Obstetrics & Gynecology | 325 S Cedar Ave, Suite 2, South Pittsburg, TN 37380-1305 | 2007-01-24 |
| 1285706465 | Jeremy G York | Pharmacist | 335 S Cedar Ave, South Pittsburg, TN 37380-1305 | 2006-11-14 |
| Find all providers in zip 37380 | ||||
| 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 |
|---|---|---|---|---|
| 1487689311 | Eyear Optical, Inc. | Durable Medical Equipment & Medical Supplies | 104 Battlecreek Rd, South Pittsburg, TN 37380-6308 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999346 | Izzy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1706 Antioch Pike # A, Antioch, TN 37013-2717 | 2020-10-15 |
| 1144827437 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 10820 Kingston Pike Ste 6, Knoxville, TN 37934-3065 | 2020-10-08 |
| 1386241859 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave Ste 503, Knoxville, TN 37916-1823 | 2020-10-07 |
| 1346851730 | Esight Inc. | Durable Medical Equipment & Medical Supplies | 330 Mallory Station Rd Ste F19, Franklin, TN 37067-2861 | 2020-08-11 |
| 1457961401 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 750 Winfield Dunn Parkway, Suite 100, Sevierville, TN 37876 | 2020-08-05 |
| 1578173944 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1111 Gallatin Ave, Nashville, TN 37206-3201 | 2020-07-31 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1568086049 | Limestone Medical LLC | Durable Medical Equipment & Medical Supplies | 1650 Murfreesboro Rd Ste 155, Franklin, TN 37067-5080 | 2020-06-01 |
| 1619590445 | Wayfarer, Inc. | Durable Medical Equipment & Medical Supplies | 1416 Antioch Pike Ste 101, Antioch, TN 37013-2766 | 2020-05-27 |
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PITTSBURG |
| Zip Code | 37380 |
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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.