Paragon Medical Enteprises Inc

Primary specialty

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

Legal business name

PARAGON MEDICAL ENTEPRISES INC

Practice address

390 Bellfounte Rd NE
Cleveland, TN 37312-6602

Phone

(423) 336-1651

Fax

(423) 336-1597

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Jerold Stout

Title

President

Phone

(423) 336-1651

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1154400323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1301",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373641301",
            "telephone_number": "423-336-1651",
            "fax_number": "423-336-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BELLFOUNTE RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126602",
            "telephone_number": "423-336-1651",
            "fax_number": "423-336-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON MEDICAL ENTEPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-336-1651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009603700",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• P H Pharmacy LLC
• Enelys Paez, DDS
• Sushil Pakhrin, DMD
• Tynesha Palmer
• Pamela Jones-Singleton
• Paras PLLC
• Eury Park
• Jaeyoun Park, DDS
• Parkridge Medical Center, Inc.
• Nancy G Parton, PA C

• Parenteral & Enteral Nutrition Supplies (DME) in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.