MD Medical Enterprises, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MD MEDICAL ENTERPRISES, LLC

Practice address

1845 Hwy. 126
A-4
Florence, OR 97439

Phone

(541) 683-3325

Fax

(541) 343-4117

NPI assigned

Oct 17, 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

(541) 683-3325

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

  • Durable Medical Equipment & Medical Supplies
  • Eugene, OR
  • NPI 1306932272
  NPD tax ID

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447331533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 HWY. 126",
            "address_2": "A-4",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "97439",
            "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": "1845 HWY. 126",
            "address_2": "A-4",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "97439",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "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": "541-683-3325",
        "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": []
}

• Daniel Mattox, DO
• Cameron E McCoin, M.D.
• Andrea McCoy, PA-C
• Timothy T. McGinnis
• Bradley Steven McGowan, DMD
• Ivy Joan Medow, COTA/L, CRC
• Steven Mee, DMD
• Allison Renee Mello, LCSW
• Mental Wellness Psychiatry
• Jeanette Marie Merchant, M.F.T.

• Durable Medical Equipment & Medical Supplies in Florence, OR
• Providers in Florence, 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.