CARDIOSOM, LLC (NPI# 1992993992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992993992 |
| Entity Type | Organization |
| Organization Name | CARDIOSOM, LLC |
| Other Organization Name | CARDIOSOM OF TUPELO |
| Practice Address |
111 Troy St Suite C Tupelo MS 38804 |
| Mailing Address |
615 W. Carmel Dr. Suite 100 Carmel IN 46032-5504 |
| Practice Telephone | 8008681920 |
| Practice Fax Number | 8008681908 |
| Mailing Telephone | 3177061080 |
| Mailing Fax Number | 3175748674 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | MR. JAY JARRELL (PRESIDENT/COO) |
| Authorized Official Telephone | 3177061080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| CardioSom of Tupelo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285875732 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1397 N Baldwin Ave, Marion, IN 46952-1913 | 2009-03-13 |
| 1508018805 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1974 Sproul Rd, Broomall, PA 19008-3400 | 2008-10-17 |
| 1487815627 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1 Oxford Ctr, 301 Grant St. Suite 4300, Pittsburgh, PA 15219-1400 | 2008-06-20 |
| 1114188349 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 124 Abbie Ave, Kansas City, KS 66103-1304 | 2008-06-20 |
| 1891956033 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 155 Ne 2nd Ave, Deerfield Beach, FL 33441-3505 | 2008-06-20 |
| 1033370275 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 8338 Sterling St, Irving, TX 75063-2593 | 2008-06-20 |
| 1003077231 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 2151 Consulate Dr, Unit 20, Orlando, FL 32837-8807 | 2008-06-20 |
| 1316108558 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 4109 Stuart Andrew Blvd, Suite J, Charlotte, NC 28217-4621 | 2008-06-20 |
| 1649430083 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 981 Keynote Cir, Suite 20, Brooklyn Heights, OH 44131-1842 | 2008-06-10 |
| 1396948311 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 212 N. Fraser St., Unit 1, Georgetown, SC 29440-3256 | 2007-06-07 |
| Street Address |
111 TROY ST SUITE C |
| City | TUPELO |
| State | MS |
| Zip Code | 38804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790059806 | Community Medical Supply | Durable Medical Equipment & Medical Supplies | 410 S Gloster St, Suite B, Tupelo, MS 38801-5526 | 2012-03-07 |
| 1033343199 | Home Medical Products, Inc. | Durable Medical Equipment & Medical Supplies | 909 Varsity Dr, Tupelo, MS 38801-4617 | 2009-05-05 |
| 1588683270 | Southern Patient Care, Inc. | Durable Medical Equipment & Medical Supplies | 1523 Cliff Gookin Blvd, Tupelo, MS 38801-6401 | 2006-07-19 |
| 1760429658 | Synchronous Medical Supply | Durable Medical Equipment & Medical Supplies | 2844 Traceland Dr, Tupelo, MS 38801-4200 | 2006-06-01 |
| 1396869301 | Health Management Services, Inc. | Durable Medical Equipment & Medical Supplies | 499 Gloster Creek Vlg, Suite F-7, Tupelo, MS 38801-4600 | 2007-03-16 |
| 1053406165 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 602 Brunson Dr, Tupelo, MS 38801-4947 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1790324614 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste E, Lucedale, MS 39452-6079 | 2019-12-23 |
| 1487291977 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste F, Lucedale, MS 39452-6079 | 2019-12-04 |
| 1699311654 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 6555 U S Highway 98 Ste 5b, Hattiesburg, MS 39402-7625 | 2019-11-25 |
| 1407402381 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 103 Woodland Rd Ste 3, Batesville, MS 38606-8483 | 2019-08-15 |
| 1396305892 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 920 E Mcdowell Rd, Jackson, MS 39204-5911 | 2019-06-17 |
| 1396219325 | Tri-state Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 6392 Highway 51 N, Pope, MS 38658-2421 | 2019-01-12 |
| 1801256508 | Down Home Medical Supply | Durable Medical Equipment & Medical Supplies | 2691 Highway 15, Bay Springs, MS 39422-7431 | 2016-02-24 |
| 1003214198 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 404 Highway 16 E, Carthage, MS 39051-4208 | 2014-12-05 |
| 1659719557 | Lexington Medical Supply | Durable Medical Equipment & Medical Supplies | 22743 Highway 12, Lexington, MS 39095-3118 | 2013-06-13 |
| 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.