Peter B Mailloux

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000006843 Issued in PA

Practice address

1275 Sans Souci Pkwy
Hanover TWP, PA 18706-5229

Phone

(570) 445-9214

Fax

(570) 550-9907

NPI assigned

Feb 12, 2008

Last updated

May 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P M Medical Products LTD

  • Durable Medical Equipment & Medical Supplies
  • Hanover TWP, PA
  • NPI 1902839558
  NPD Authorized official
• Accessibility Advantage LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilkes Barre, PA
  • NPI 1104447697
  Authorized official Same address or phone

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1073781118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SANS SOUCI PKWY",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065229",
            "telephone_number": "570-445-9214",
            "fax_number": "570-550-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SANS SOUCI PKWY",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065229",
            "telephone_number": "570-445-9214",
            "fax_number": "570-550-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Cook, RPH
• Rebecca Davis
• Lisa Dukes, PHARM D
• Kathryn Eschbach, LCSW
• Daniel Luke Golaszewski, D.C.
• Antoinette Maria McDonald, PHARMD
• Sherie Lee Morganti, CRNA
• Northeastinfusion Inc.
• P M Medical Products LTD
• Tara Lynn Pearson, OTR/L

• Durable Medical Equipment & Medical Supplies in Hanover TWP, PA
• Providers in Hanover TWP, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.