Russell Kornegor Medical Equipment LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RUSSELL KORNEGOR MEDICAL EQUIPMENT LTD

Practice address

703 N 2ND St
Coldwater, OH 45828-9780

Phone

(419) 678-2168

Fax

(419) 678-8893

NPI assigned

Apr 11, 2007

Last updated

Nov 16, 2007By 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

Mr. Russell Dean KornegorNPI 1629250097

Title

Owner

Phone

(419) 678-2168

Specialties & licenses 2

Addresses

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.

• Russell D Kornegor

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, OH
  • NPI 1629250097
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1114140761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N 2ND ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458289780",
            "telephone_number": "419-678-2168",
            "fax_number": "419-678-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N 2ND ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458289780",
            "telephone_number": "419-678-2168",
            "fax_number": "419-678-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL KORNEGOR MEDICAL EQUIPMENT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KORNEGOR",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-678-2168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Coldwater, OH
• Providers in Coldwater, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.