Kennesaw Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KENNESAW MEDICAL SUPPLIES INC

Doing business as

Mechanical Equipment Aids Inc

Practice address

3055 N Main St NW
Kennesaw, GA 30144-2787

Phone

(770) 422-3978

Fax

(770) 422-2612

NPI assigned

Dec 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilya Belotserkovsky

Title

President

Phone

(770) 422-3978

Specialties & licenses 1

Addresses

Other names 1

• Mechanical Equipment Aids Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1013072255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 N MAIN ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442787",
            "telephone_number": "770-422-3978",
            "fax_number": "770-422-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 N MAIN ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442787",
            "telephone_number": "770-422-3978",
            "fax_number": "770-422-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESAW MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "BELOTSERKOVSKY",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-422-3978"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mechanical Equipment Aids Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.