Pace Mobility Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

13008 Issued in KY

Legal business name

PACE MOBILITY PRODUCTS

Practice address

2040 Madison Ave
Covington, KY 41014-0008

Phone

(859) 525-6623

Fax

(859) 525-6757

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Albert Pace

Title

President

Phone

(859) 525-6623

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1134233166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410140008",
            "telephone_number": "859-525-6623",
            "fax_number": "859-525-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410140008",
            "telephone_number": "859-525-6623",
            "fax_number": "859-525-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE MOBILITY PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-525-6623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "13008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389213",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005976",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret Olson, MSW, LCSW
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• Megan Panko, B.S.
• Jeffrey M Parker, M.D.
• Payal Patel, DMD
• Bradley S. Patterson, M.D.

• Durable Medical Equipment & Medical Supplies in Covington, KY
• Providers in Covington, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.