Active NPI
Pikeville Medical Equipment & Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Pikeville, KY
National Provider Identifier
1366491177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- NOT REQUIRED IN KY
- Legal business name
- PIKEVILLE MEDICAL EQUIPMENT & SUPPLIES, INC.
- Practice address
- 789A N Mayo TR
Pikeville, KY 41501-1686 - Phone
- (606) 432-6011
- Fax
- (606) 432-6085
- NPI assigned
- May 9, 2006
- Last updated
- Jul 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelia Goodman Watson
- Title
- Ceo
- Phone
- (606) 432-6011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NOT REQUIRED IN KY | KY | Primary |
Addresses
Primary practice location
789A N Mayo TR
Pikeville, KY 41501-1686
Mailing address
PO Box 3816
Pikeville, KY 41502-3816
Phone (606) 432-6011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930096314 | KY | DME Supplier - Medical Supply Company | 2961618715 | Practice locations: Pikeville, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pikeville Medical Equipment & Suppl | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wh… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
789 N Mayo Trl
#A
Pikeville, KY 41501
Phone (606) 432-6011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469664000000",
"number": "1366491177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3816",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415023816",
"telephone_number": "606-432-6011",
"fax_number": "606-432-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789A N MAYO TR",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011686",
"telephone_number": "606-432-6011",
"fax_number": "606-432-6085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIKEVILLE MEDICAL EQUIPMENT & SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2016-07-28",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "SHELIA",
"authorized_official_middle_name": "GOODMAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "606-432-6011",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "NOT REQUIRED IN KY",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
- Pikeville Medical Center, Inc.
- Pikeville Medical Center, Inc.
- Pikeville Medical Center, Inc. (Pikeville Medical Center Specialty Pharmacy)
- Pikeville Medical Center, Inc.
- Pikeville Medical Center, Inc. (Pikeville Family Practice Clinic)
- Pikeville Medical Offices
- Pikeville Neurology Clinic & Diagnostic Center PSC
- Pikeville Nursing and Rehab Center LLC (Pikeville Nursing and Rehab Center)
- Pikeville Nursing and Rehab Center LLC (Pikeville Nursing and Rehab Center)
- Pikeville Optical Company Inc (The Eye Site)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.