Icon Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ICON MEDICAL SUPPLIES

Doing business as

MedStar Orthopedic Supplies

Practice address

2300 McDermott Rd Ste 200-199
Plano, TX 75025-7016

Phone

(214) 383-9105

Fax

(214) 383-9110

NPI assigned

May 22, 2009

Last updated

May 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Young

Title

Principal

Phone

(214) 587-3760

Specialties & licenses 1

Addresses

Other names 1

• MedStar Orthopedic Supplies Doing business as

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1538394309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MCDERMOTT RD STE 200-199",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750257016",
            "telephone_number": "214-383-9105",
            "fax_number": "214-383-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MCDERMOTT RD STE 200-199",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750257016",
            "telephone_number": "214-383-9105",
            "fax_number": "214-383-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "214-587-3760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar Orthopedic Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Plano, TX
• Providers in Plano, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.