Mobile Med Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MOBILE MED INC

Practice address

200 West 5TH Street North
Summerville, SC 29483

Phone

(843) 285-7903

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Doug Trenor

Title

President

Phone

(864) 569-0418

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lowcountry Home Respirtory Doing business as

Member of 2

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

• Medemporium, LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1538143375

  Member Of

  NPD member
• Specialized Homecare Inc

  • Oxygen Equipment & Supplies (DME)
  • Lansing, MI
  • NPI 1467903005

  Member Of

  NPD member

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1497770366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 SOUTH PLEASANTBURG DRIVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-569-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST 5TH STREET NORTH",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-285-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "TRENOR",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-569-0418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1120",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Home Respirtory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Liston Mitchell, DDS
• Jacquetta E Mitchell
• Racheal C Mitchell, PHARMD
• Madison Mary Mitola
• Joanne Mizell
• Kara Mockaitis, BA, HAS
• Monarch Eye Care LLC
• Diane Monarch, O.D.
• Rosalyn Kramer Monat-Haller, M.ED
• Marla Monk, LCSW

• All providers in Summerville, SC
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.