Medequipment & Supplies

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MEDEQUIPMENT & SUPPLIES

Practice address

2713 Humboldt Rd Apt 6
Green Bay, WI 54311-8457

Phone

(920) 634-1332

NPI assigned

Mar 11, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Acosta

Title

President

Phone

(920) 634-1332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520726400000",
    "number": "1013410539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 HUMBOLDT RD APT 6",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118457",
            "telephone_number": "920-634-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 HUMBOLDT RD APT 6",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118457",
            "telephone_number": "920-634-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-11",
        "last_updated": "2018-03-11",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-634-1332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MDC Bellevue, L.L.C.
• Jacob Mead
• Robert Charles Mead, MD
• Meadowbrook Smiles
• Kathryn Meadowcroft, FNP
• Medical Arts Complex Dental Center, S.C.
• Medication Innovations L.L.C.
• Michael G Medich, MD
• Medinah Transport LLC
• Molly E Mehlberg, NP

• Parenteral & Enteral Nutrition Supplies (DME) in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2018; 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.