Active NPI
Abco Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0225997
- Legal business name
- ABCO MEDICAL SUPPLY, INC.
- Practice address
- 348 Trane Drive
Knoxville, TN 37919-6052 - Phone
- (888) 899-8881
- Fax
- (888) 606-4866
- NPI assigned
- Oct 14, 2010
- Last updated
- Jul 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Collin Roger Donoghue
- Title
- VP/GM
- Phone
- (888) 899-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0225997 | TN | Primary |
Addresses
Primary practice location
348 Trane Drive
Knoxville, TN 37919-6052
Mailing address
348 Trane Drive
Knoxville, TN 37919-6052
Phone (888) 899-8881
Other names 1
- Weaver Medical Group, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110315000424 | TN | DME Supplier - Medical Supply Company | 7416139233 | Practice locations: Knoxville, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Abco Medical Supply Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Weaver Medical Supply
- Oxygen Equipment & Supplies (DME)
- Knoxville, TN
- NPI 1760848568
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Positively Beautiful Boutique & Gifts
- Prosthetic/Orthotic Supplier
- Knoxville, TN
- NPI 1114085974
Member Of
Locations
116 Concord Rd
Ste 700
Knoxville, TN 37934
Phone (865) 777-6888
348 Trane Dr
Knoxville, TN 37919
Phone (865) 240-0098
5908 Toole Dr
Ste H
Knoxville, TN 37919
Phone (865) 777-6888
6515 Clinton Hwy
Ste 105
Knoxville, TN 37912
Phone (888) 899-8881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1003126848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 TRANE DRIVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196052",
"telephone_number": "888-899-8881",
"fax_number": "888-606-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 TRANE DRIVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196052",
"telephone_number": "888-899-8881",
"fax_number": "888-606-4866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABCO MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-14",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "DONOGHUE",
"authorized_official_first_name": "COLLIN",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "VP/GM",
"authorized_official_telephone_number": "888-899-8881"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0225997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Weaver Medical Group, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.