Tricounty Medical Equipment and Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC

Doing business as

Youngs Medical Equipment

Practice address

531 Washington Blvd
Williamsport, PA 17701-5220

Phone

(610) 630-6357

NPI assigned

May 22, 2015

Last updated

Jan 5, 2016By 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. John M Gvodas Jr.

Title

President

Phone

(610) 630-6357

Specialties & licenses 3

Addresses

Other names 1

• Youngs Medical Equipment Doing business as

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1205215209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MILL RD STE A130",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015220",
            "telephone_number": "610-630-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "GVODAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-630-6357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youngs Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Charles Trautwein, M. D.
• Treewhale LLC (Akasha Center for Holistic Medicine)
• Matthew Trego, O.D.
• Barbara Treier, CRNA
• Monica Frances Trick, LCSW
• Tammera Tripoli
• Katy Elizabeth Troester, LSW
• David Lee Troutman Jr., D.P.M.
• Richard Douglas Troxler, D.M.D.
• Enoch Shouzheng Tse, M.D.

• Durable Medical Equipment & Medical Supplies in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.