Organization Active NPI

Gilles Medical Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Waldorf, MD
National Provider Identifier
1609543040
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GILLES MEDICAL SUPPLY CORP
Practice address
3025 Dahoon CT
Waldorf, MD 20603-5754
Phone
(240) 765-4309
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Gilles LeweNPI 1861166779
Title
Owner
Phone
(240) 765-4309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3025 Dahoon CT
Waldorf, MD 20603-5754

Mailing address

3025 Dahoon CT
Waldorf, MD 20603-5754

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1609543040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 DAHOON CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 DAHOON CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035754",
            "telephone_number": "240-765-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLES MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "LEWE",
        "authorized_official_first_name": "GILLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-765-4309"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.