Midland Mobility & Surgical Supply LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MIDLAND MOBILITY & SURGICAL SUPPLY LLC

Practice address

800 Midland Ave
Thomasville, NC 27360-3037

Phone

(336) 481-9150

NPI assigned

Mar 5, 2018

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Herlocker

Title

Manager

Phone

(336) 481-9150

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1043712219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MIDLAND AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MIDLAND AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603037",
            "telephone_number": "336-481-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MOBILITY & SURGICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "HERLOCKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-481-9150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo McRae
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• Medical Services of America, Inc. (Medi Home Health Agency)
• Medventures,LLC (regional physicians-thomasville)
• Jason Menegio, MS, LPCS, NCC
• Ashley Nianne Miller, NP
• Joseph Keith Miller, MD
• Lauren Paige Miller
• Hayley Michelle Mitchell, FNP-C
• Shaqwuana Mitchell

• Prosthetic/Orthotic Supplier in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.