FOSSIL MEDICAL LLC (NPI# 1982095139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982095139 |
| Entity Type | Organization |
| Organization Name | FOSSIL MEDICAL LLC |
| Practice Address |
2800 South 2nd Street, Suite D Cabot AR 72023-7025 |
| Practice Telephone | 5012866019 |
| Practice Fax Number | 5012866021 |
| Mailing Telephone | 5012866019 |
| Mailing Fax Number | 5012866021 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MR. JOHN C BALENKO (PRESIDENT) |
| Authorized Official Telephone | 5012866019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2800 SOUTH 2ND STREET, SUITE D |
| City | CABOT |
| State | AR |
| Zip Code | 72023-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| 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 |
|---|---|---|---|---|
| 1972904811 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1203 S Pine St, Cabot, AR 72023-3809 | 2014-09-10 |
| 1659667228 | American Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2011 N 2nd St, Cabot, AR 72023-2230 | 2011-06-22 |
| 1144416777 | Absolute Medical Usa, Inc. | Durable Medical Equipment & Medical Supplies | 2693 South Second St., Cabot, AR 72023-3319 | 2007-09-18 |
| 1598782997 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 304 S Rockwood Dr, Cabot, AR 72023-2881 | 2006-07-16 |
| 1871683243 | Concordia Medical Equipment | Durable Medical Equipment & Medical Supplies | 615 N Pike Rd, Cabot, PA 16023-2215 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689524 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 9 Freeway Dr Ste B, Little Rock, AR 72204-2486 | 2020-11-06 |
| 1770182446 | Tpab Medical | Durable Medical Equipment & Medical Supplies | 406 Honey Suckle, Brookland, AR 72417-8980 | 2020-10-22 |
| 1235743808 | Dqhha Equipment & Supply, Inc. | Durable Medical Equipment & Medical Supplies | 103 W Dodson St, Nashville, AR 71852-3121 | 2020-09-01 |
| 1497363436 | Just Like You Post-mastectomy Fitting Boutique | Durable Medical Equipment & Medical Supplies | 2913 King St Ste 3, Jonesboro, AR 72401-5353 | 2020-07-15 |
| 1427687698 | Ccdld,inc | Durable Medical Equipment & Medical Supplies | 18 Farnham Loop, Little Rock, AR 72223-9199 | 2020-04-08 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1447883871 | Innovative Outcome, Inc. | Durable Medical Equipment & Medical Supplies | 17300 Chenal Pkwy Ste 130, Little Rock, AR 72223-5802 | 2020-02-13 |
| 1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
| 1720619224 | Sana Solutions | Durable Medical Equipment & Medical Supplies | 11719 Hinson Rd Ste Officeh, Little Rock, AR 72212-3402 | 2020-02-03 |
| 1205475902 | Davie Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 2705 Harrison St, Batesville, AR 72501-7428 | 2019-12-27 |
| Find all providers with the same taxonomy | ||||
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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.