Organization Active NPI

Medtix LLC

  • Oxygen Equipment & Supplies (DME)
  • Philadelphia, PA
National Provider Identifier
1508280017
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
3000008758 Issued in PA
Legal business name
MEDTIX LLC
Practice address
8101 Germantown Ave
Philadelphia, PA 19118-3422
Phone
(302) 645-8070
Fax
(302) 645-8870
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Tammie J Draine
Title
Director of Billing
Phone
(302) 645-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 3000008758 PA Primary

Addresses

Primary practice location

8101 Germantown Ave
Philadelphia, PA 19118-3422

Mailing address

16337 Coastal Hwy
Lewes, DE 19958-3607
Phone (302) 645-8070

National Provider Directory

National Provider Directory
Tax ID family
Medtix LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8101 Germantown Ave
Philadelphia, PA 19118
Phone (302) 645-8070

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1508280017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16337 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583607",
            "telephone_number": "302-645-8070",
            "fax_number": "302-645-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183422",
            "telephone_number": "302-645-8070",
            "fax_number": "302-645-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "DRAINE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "302-645-8070"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "3000008758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.