U.S. Med Mark,Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG00318 Issued in AR

Legal business name

U.S. MED MARK,INC.

Practice address

11711 Hermitage Rd
Suite # 7
Little Rock, AR 72211-3718

Phone

(501) 225-9779

Fax

(501) 225-6988

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Steven Black

Title

Owner/President

Phone

(501) 225-9779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043324452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 HERMITAGE RD",
            "address_2": "SUITE # 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113718",
            "telephone_number": "501-225-9779",
            "fax_number": "501-225-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 HERMITAGE RD",
            "address_2": "SUITE # 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113718",
            "telephone_number": "501-225-9779",
            "fax_number": "501-225-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. MED MARK,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-225-9779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER",
            "identifier": "49739",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Tyner, MHPP
• Emily Anne Tyree, PA-C
• Sophia Tyrer
• Wesley Drake Tyson
• Catrice Louise Tyus, MS, OTR/L
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• Janet Udouj, MD
• Lara Kaye Udouj, D.D.S.
• Ebonne Ada Ugbo

• Durable Medical Equipment & Medical Supplies in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.