Performance Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERFORMANCE MEDICAL SUPPLY INC.

Practice address

4206 Augusta Rd
Lexington, SC 29073-9143

Phone

(803) 791-5904

Fax

(803) 791-5047

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin M Hester

Title

Owner

Phone

(803) 791-5904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1245436864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 AUGUSTA RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739143",
            "telephone_number": "803-791-5904",
            "fax_number": "803-791-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 AUGUSTA RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739143",
            "telephone_number": "803-791-5904",
            "fax_number": "803-791-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-791-5904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoan Ivaylov Penev
• Daniel Ryan Pennella, D.M.D., M.S.D.
• Kate M Pennella, D.M.D.
• Peoples Residential Care, LLC
• David Perez, PA
• David Wayne Perrault, MED, LPC-I
• Robert S Perry, RPH
• Shemike Perry
• Victoriya Pershyna, CCC-SLP
• Carl Wehr Peter Jr., MD

• Durable Medical Equipment & Medical Supplies in Lexington, SC
• Providers in Lexington, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.