Axis Medical, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Saint Robert, MO
NPI 1194262964 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1194262964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AXIS MEDICAL, LLC
- Practice address
- 100 Bosa Dr
Suite F
Saint Robert, MO 65584-4833 - Phone
- (573) 337-0694
- NPI assigned
- Jan 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Daniel Draper, COTA
- Title
- Owner
- Phone
- (573) 337-0694
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Axis Medical LLC |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Infrared Heating Pads Systems and/or Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|(TENS) Transcutaneous Electrical Nerve Stimulators and/or S… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180925003191 | MO | DME Supplier - Medical Supply Company | 9638420987 | Practice locations: Saint Robert, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
100 Bosa Dr
Suite F
Saint Robert, MO 65584-4833
Mailing address
100 Bosa Dr
Suite F
Saint Robert, MO 65584-4833
Phone (573) 337-0694
Other providers in Saint Robert, MO
- Mason Davis Albertson
- Mark Jeffrey Allen
- American Homepatient, Inc.
- Cynthia Anne Armistead
- Destiny Nicole Aviles
- Axis Rejuvenation LLC
- Axis Sleep Center, LLC
- Rachel Erin Bagot
- Jordan Wayne Bailey
- Rosie Ball
All providers in Saint Robert, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.