Organization Active NPI

Graham Sego Corporation

Doing business as Segos Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Clermont, FL
National Provider Identifier
1578683900
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GRAHAM SEGO CORPORATION
Doing business as
Segos Home Medical Equipment
Practice address
355 Citrus Tower Blvd
Suite 102
Clermont, FL 34711-6501
Phone
(352) 242-9004
Fax
(352) 242-9006
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Mr. E. Eugene Sego
Title
Owner
Phone
(321) 268-0179

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X 321520 FL
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

355 Citrus Tower Blvd
Suite 102
Clermont, FL 34711-6501

Mailing address

355 Citrus Tower Blvd
Suite 102
Clermont, FL 34711-6501
Phone (352) 242-9004

Other identifiers 1

IdentifierTypeStateIssuer
030871400MedicaidFL

Other names 1

  • Segos Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

355 Citrus Tower Blvd
Ste 102
Clermont, FL 34711
Phone (352) 242-9004

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1578683900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CITRUS TOWER BLVD",
            "address_2": "SUITE 102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116501",
            "telephone_number": "352-242-9004",
            "fax_number": "352-242-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CITRUS TOWER BLVD",
            "address_2": "SUITE 102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116501",
            "telephone_number": "352-242-9004",
            "fax_number": "352-242-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM SEGO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "SEGO",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-268-0179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "321520",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030871400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Segos Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.