Metro Medical Supply Company LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

037-06632-1 Issued in MS

Legal business name

METRO MEDICAL SUPPLY COMPANY LLC

Practice address

5268 Old Highway 11
Suite 2
Hattiesburg, MS 39402-8379

Phone

(601) 268-6939

Fax

(601) 268-6089

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Wanda Harden

Title

Owner

Phone

(601) 268-6939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted Gene Harden II, OD

  • Optometrist
  • Petal, MS
  • NPI 1396939542
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1245265420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16595",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046595",
            "telephone_number": "601-268-6939",
            "fax_number": "601-268-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 OLD HIGHWAY 11",
            "address_2": "SUITE 2",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028379",
            "telephone_number": "601-268-6939",
            "fax_number": "601-268-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL SUPPLY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-268-6939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "037-06632-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440960",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merit Health Wesley
• Leah Mesquita
• Diana R Mesrobian, LCSW
• Thomas S Messer Jr., MD
• James Allen Mestayer II, PHARMACIST
• Metroplex Center, LLC
• Katherine Anderson Meyers, PA
• John Micka
• Middleton & Belknap Pediatric Dentistry PLLC
• Andrew Scott Middleton, DMD

• Durable Medical Equipment & Medical Supplies in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.