MDS Medical Device Specialty Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MDS MEDICAL DEVICE SPECIALTY INC.

Practice address

116 E Market St Ste 110
Johnson City, TN 37604-5793

Phone

(888) 518-5110

Fax

(877) 475-0303

NPI assigned

Jun 20, 2019

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MDS MEDICAL DEVICE SPECIALTY INC.As reported in NPPES

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

Authorized official

Name

Mark Allen Jolley, DC

Title

Coo

Phone

(801) 475-0303

Specialties & licenses 1

Addresses

Part of

MDS Medical Device Specialty Inc

Locations

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1568022606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W 500 N",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542769",
            "telephone_number": "801-475-0303",
            "fax_number": "888-455-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E MARKET ST STE 110",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045793",
            "telephone_number": "888-518-5110",
            "fax_number": "877-475-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS MEDICAL DEVICE SPECIALTY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDS MEDICAL DEVICE SPECIALTY INC.",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-475-0303",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J McRae, MD
• Sarah M McRae, NP
• Akasha McReynolds
• Joe Randall McVeigh, M.D.
• Sara J McVeigh, LCSW
• Amanda Jade Meade, DPT
• Ashley Yvonne Meade, FNP-BC
• Earnest E Meade, FNP
• Caitlin D Meadows, LPC, MHSP
• Carmen Michelle Meadows, PHARMD

• Durable Medical Equipment & Medical Supplies in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.