Active NPI
Graham Sego Corporation
Doing business as Segos Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Clermont, FL
National Provider Identifier
1578683900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030871400 | Medicaid | FL |
Other names 1
- Segos Home Medical Equipment
National Provider Directory
National Provider DirectoryLocations
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.