Metromed Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0070379 Issued in TX

Legal business name

METROMED MEDICAL SUPPLY LLC

Doing business as

Metroplex Medical Supply

Practice address

560 W Main St Ste 100
Lewisville, TX 75057-3665

Phone

(972) 434-2005

Fax

(972) 221-8804

NPI assigned

Jan 15, 2009

Last updated

Sep 11, 2020By 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

Jessie M. Brown

Title

President

Phone

(972) 434-2005

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Metroplex Medical Supply Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1578700233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573665",
            "telephone_number": "972-434-2005",
            "fax_number": "972-221-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573665",
            "telephone_number": "972-434-2005",
            "fax_number": "972-221-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROMED MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-434-2005"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0070379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169605602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169605601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "metroplex@metromedsupply.com",
            "affiliation": "N",
            "endpointDescription": "METROPLEX EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "560 W Main St Ste 100",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750573665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Metroplex Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metroplex Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lewisville, TX
• Providers in Lewisville, 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 Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.