M-D Medical Services, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0000001106 Issued in TN

Legal business name

M-D MEDICAL SERVICES, INC.

Practice address

105 Spann Dr Ste a
Brandon, MS 39047-8810

Phone

(601) 919-9196

Fax

(601) 919-0609

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Wade Ward

Title

President

Phone

(601) 919-9196

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

M-D Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M-D Medical Services, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Flowood, MS
  • NPI 1518976380
  NPD tax ID

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1124465810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPANN DR STE A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478810",
            "telephone_number": "601-919-9196",
            "fax_number": "601-919-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPANN DR STE A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478810",
            "telephone_number": "601-919-9196",
            "fax_number": "601-919-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-D MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-919-9196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TN",
            "license": "0000001106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582243",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Magnolia Healthcare Solutions, LLC
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• Parenteral & Enteral Nutrition Supplies (DME) in Brandon, MS
• Providers in Brandon, MS by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.