NPIMap

Organization Active NPI

Legacy Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Miamisburg, OH
National Provider Identifier
1386980696
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEGACY MEDICAL, LLC
Doing business as
Legacy Medical Equipment
Practice address
4303 Lyons Rd.
Miamisburg, OH 45342
Phone
(937) 458-8935
Fax
(937) 847-2882
NPI assigned
Dec 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
William S. Herdtner
Title
V.P. Finance & Cfo
Phone
(513) 576-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4303 Lyons Rd.
Miamisburg, OH 45342

Mailing address

1700 Edison Dr
Milford, OH 45150-2729
Phone (513) 576-0262

Other names 1

  • Legacy Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4469 Far Hills Ave
Kettering, OH 45429
Phone (937) 293-9866

4303 Lyons Rd
Miamisburg, OH 45342
Phone (937) 289-5324

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1386980696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EDISON DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502729",
            "telephone_number": "513-576-0262",
            "fax_number": "513-576-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 LYONS RD.",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-458-8935",
            "fax_number": "937-847-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "HERDTNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "V.P. FINANCE & CFO",
        "authorized_official_telephone_number": "513-576-0262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.