NPIMap

Organization Active NPI

Medical Aid Supply House Inc

  • Durable Medical Equipment & Medical Supplies
  • Duluth, GA
National Provider Identifier
1073582003
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
623509993A Issued in GA
Legal business name
MEDICAL AID SUPPLY HOUSE INC
Practice address
3547 Peachtree Industrial Blvd
Suite 4
Duluth, GA 30096-1419
Phone
(770) 622-1211
Fax
(770) 622-1241
NPI assigned
Mar 14, 2006
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Jeong Hee WooNPI 1861865537
Title
President
Phone
(770) 622-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 623509993A GA Primary
Emergency Response System Companies 333300000X
Prosthetic/Orthotic Supplier 335E00000X 623509993B GA

Addresses

Primary practice location

3547 Peachtree Industrial Blvd
Suite 4
Duluth, GA 30096-1419

Mailing address

3547 Peachtree Industrial Blvd
Suite 4
Duluth, GA 30096-1419
Phone (770) 622-1211

National Provider Directory

National Provider Directory

Locations

3547 Peachtree Industrial Blvd
Ste 4
Peachtree Corners, GA 30096
Phone (312) 929-8662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1073582003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 4",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961419",
            "telephone_number": "770-622-1211",
            "fax_number": "770-622-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 4",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961419",
            "telephone_number": "770-622-1211",
            "fax_number": "770-622-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AID SUPPLY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-622-1211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "623509993A",
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "623509993B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.