Pro-Med 1 Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PRO-MED 1 INC

Doing business as

Pro Med 1
Pro-Med
Pro-Med One Inc2 more in Other names

Practice address

3489 Ladson Rd
Suite B
Ladson, SC 29456-4330

Phone

(843) 832-8397

Fax

(843) 832-0552

NPI assigned

Sep 21, 2005

Last updated

Aug 28, 2024By 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

Deborah Sue Slocum

Title

President

Phone

(843) 832-8397

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 5

• PRO MED 1 Doing business as
• PRO-MED Doing business as
• PRO-MED ONE INC Doing business as
• Pro Med 1 Inc Doing business as
• Promed Doing business as

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1073509444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 LADSON RD",
            "address_2": "SUITE B",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564330",
            "telephone_number": "843-832-8397",
            "fax_number": "843-832-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3489 LADSON RD",
            "address_2": "SUITE B",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564330",
            "telephone_number": "843-832-8397",
            "fax_number": "843-832-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MED 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-832-8397"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN2065",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1156",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO MED 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRO-MED",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRO-MED ONE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pro Med 1 Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Promed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Ladson, SC
• Providers in Ladson, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.