MMS Ft. Wayne, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

69000007A Issued in IN

Legal business name

MMS FT. WAYNE, INC

Doing business as

Majors Medical Supply

Practice address

14601 Lima Rd
Fort Wayne, IN 46818-9585

Phone

(260) 637-8585

Fax

(260) 637-1927

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By 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

Patricia Eileen Bobay, RFM

Title

Owner/Vice-President

Phone

(260) 637-8586

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAJORS MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255352514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189585",
            "telephone_number": "260-637-8585",
            "fax_number": "260-637-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189585",
            "telephone_number": "260-637-8585",
            "fax_number": "260-637-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMS FT. WAYNE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOBAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/VICE-PRESIDENT",
        "authorized_official_telephone_number": "260-637-8586",
        "authorized_official_credential": "RFM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": "69000007A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "69000007A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAJORS MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lillie Mitchell
• Savannah Mitchell
• Taygen Mitchell
• Emily Jeane Mize
• Joseph M Mlakar, MD
• Mobile Medical Maintenance, LLC (Pediatric Home Service)
• Bernadette Mock, RBT
• Charlotte Mock, MA, LMHC
• Brian Mockenhaupt
• Cassandra Moden

• Customized Equipment (DME) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Customized Equipment (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.