Organization Active NPI

Pikeville Medical Equipment & Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pikeville, KY
National Provider Identifier
1366491177
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NOT REQUIRED IN KY Issued 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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930096314 KY DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2961618715 Practice locations: Pikeville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Pikeville Medical Equipment & Suppl789A N Mayo TRL, Pikeville, KY 41501-3472(606) 432-6011 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 assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.