Organization Active NPI

Port Medical Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Laurel, MD
National Provider Identifier
1093845315
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PORT MEDICAL SERVICES INC
Practice address
14440 Cherry Lane CT
Suite 217
Laurel, MD 20707-4946
Phone
(301) 725-9464
Fax
(301) 725-9465
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mrs. Ekop Ima GrahamNPI 1871041764
Title
Ceo
Phone
(301) 725-9464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

14440 Cherry Lane CT
Suite 217
Laurel, MD 20707-4946

Mailing address

14440 Cherry Lane CT
Suite 217
Laurel, MD 20707-4946
Phone (301) 725-9464

National Provider Directory

National Provider Directory

Locations

608 Washington Blvd S
Ste 209
Laurel, MD 20707
Phone (301) 725-9464

14440 Cherry Lane Ct
Ste 217
Laurel, MD 20707
Phone (301) 725-9464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1093845315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT",
            "address_2": "SUITE 217",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-725-9464",
            "fax_number": "301-725-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT",
            "address_2": "SUITE 217",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-725-9464",
            "fax_number": "301-725-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "EKOP",
        "authorized_official_middle_name": "IMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-725-9464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.