Medpartners, Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

02197 Issued in NC

Legal business name

MEDPARTNERS, CORP.

Practice address

450 Airport Rd
Ste 2
Fletcher, NC 28732-6712

Phone

(888) 572-3330

Fax

(888) 579-6040

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Phil D Bland

Title

President

Phone

(828) 283-2728

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1225447980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 AIRPORT RD",
            "address_2": "STE 2",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287326712",
            "telephone_number": "888-572-3330",
            "fax_number": "888-579-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 AIRPORT RD",
            "address_2": "STE 2",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287326712",
            "telephone_number": "888-572-3330",
            "fax_number": "888-579-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPARTNERS, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-283-2728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "02197",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "02197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225447980",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Lucas
• Kara Lustig, PHD
• Jennifer Ann Macias, LCSW
• Olive Madarang, PT
• Emily Ann McCallister, CCC-SLP
• Nancy Mercer, LCSW, LCAS
• Sally Ann Mertens, CCC-SLP
• Jacquelynn Metcalf, RD, LD
• Migun Life Inc
• Rachel Mills, BCBA

• Durable Medical Equipment & Medical Supplies in Fletcher, NC
• Providers in Fletcher, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.