Performance Plus Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERFORMANCE PLUS MEDICAL SUPPLIES LLC

Practice address

1802 N Woodbine Rd
Saint Joseph, MO 64506-3667

Phone

(816) 232-5113

Fax

(816) 232-0453

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Allyn Smith

Title

Owner

Phone

(816) 232-5113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497279517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063667",
            "telephone_number": "816-232-5113",
            "fax_number": "816-232-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063667",
            "telephone_number": "816-232-5113",
            "fax_number": "816-232-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PLUS MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-232-5113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620065988",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gopichand Pendurti, M.D
• Robyn A Penney, CCC-SLP
• Alyssa Dawne Pennock, BSN, RN, FNE
• Roberta J Peregrine
• Perfect Sense Eye Center St. Joe, LLC
• Performance Plus Rehabilitation Center LLC
• Matthew T Perry, MD
• Kimberly Jill Peters, DPT
• Jaimie M Pfeifer, O.D.
• Peter T Phan, DO

• Durable Medical Equipment & Medical Supplies in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.