Frontier Medical Equipment Providers

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

300850141 Issued in GA

Legal business name

FRONTIER MEDICAL EQUIPMENT PROVIDERS

Practice address

7024 Rogers Lake Rd
Lithonia, GA 30058-5175

Phone

(770) 484-4334

Fax

(770) 484-3448

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joel Essien Udoro

Title

Owner

Phone

(770) 484-4334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1285681346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300580099",
            "telephone_number": "770-484-4334",
            "fax_number": "770-484-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 ROGERS LAKE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585175",
            "telephone_number": "770-484-4334",
            "fax_number": "770-484-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MEDICAL EQUIPMENT PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "UDORO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ESSIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-484-4334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "300850141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.