Doc Supply of West Tennessee, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1014 Issued in TN

Legal business name

DOC SUPPLY OF WEST TENNESSEE, LLC

Practice address

201 Lakeview Rd
Suite D
Somerville, TN 38068-9742

Phone

(901) 620-6900

Fax

(800) 481-1206

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Robert T Baldridge, ATP

Title

Owner

Phone

(800) 306-5160

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Home Medical Products, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Dyersburg, TN
  • NPI 1891941100

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1619290657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 THREE WAY LN",
            "address_2": "SUITE A",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383438561",
            "telephone_number": "800-306-5160",
            "fax_number": "800-481-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAKEVIEW RD",
            "address_2": "SUITE D",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689742",
            "telephone_number": "901-620-6900",
            "fax_number": "800-481-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC SUPPLY OF WEST TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "BALDRIDGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-306-5160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "1014",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "1014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy L Daniels, FNP
• David L Seaton
• Deborah Louise Davis, CPHT
• Deanna Elsea, M.D.
• DJB Pharmacy LLC
• Shanice Douglas
• Dwayne F Richardson DDS Estate
• Elite Pediatric and Adolescent Medicine
• Michelle G Elrod, FNP-C
• Encore Health and Wellness PLLC

• All providers in Somerville, TN
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.