MD Medical Enterprises

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MD MEDICAL ENTERPRISES

Practice address

4725 Village Plaza Loop
201
Eugene, OR 97401-6677

Phone

(541) 683-3325

Fax

(541) 343-4117

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Joseph Pettit, RPSGT

Title

Owner

Phone

(513) 374-5986

Specialties & licenses 1

Addresses

Tax ID family

MD Medical Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MD Medical Enterprises, LLC

  • Durable Medical Equipment & Medical Supplies
  • Florence, OR
  • NPI 1447331533
  NPD tax ID

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306932272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-374-5986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Werschkul McStravick, PA-C
• Amanda Marie McVicker
• Paula McWhirter, PH.D.
• Allie Nichole McWilliams, BA, QMHA
• Fie Boesen McWilliams
• Jessica Mead
• Elias Lee Meadow
• Carrie F. Meadowcroft, OT, CHT
• Aja Meadows
• Brittany Anne Means-Luna, QMHA

• Durable Medical Equipment & Medical Supplies in Eugene, OR
• Providers in Eugene, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• 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.