Med Source Plus, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in OH

Legal business name

MED SOURCE PLUS, INC

Practice address

725 Harvard Dr # a
Owensboro, KY 42301-6185

Phone

(270) 926-8999

Fax

(270) 926-8450

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Jack Wells

Title

Owner

Phone

(270) 926-8999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396800629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HARVARD DR # A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016185",
            "telephone_number": "270-926-8999",
            "fax_number": "270-926-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HARVARD DR # A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016185",
            "telephone_number": "270-926-8999",
            "fax_number": "270-926-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SOURCE PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-8999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0761966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna McPherson, APRN
• Shara Michelle McPherson, APRN
• Victoria J Meacham, LCSW
• Virginia Gail Meadows, MS, CCC/SLP
• Med 1St of Owensboro
• Mediation & Counseling Center of Western Kentucky, Inc.
• Medical Electronics & Supplies Inc.
• Medical Specialists of Kentuckiana
• Richard W Medley Jr., MD
• Sara Medsker

• Durable Medical Equipment & Medical Supplies in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• 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.