Active NPI
Enterprise Medical, Inc
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
National Provider Identifier
1629186499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ENTERPRISE MEDICAL, INC
- Practice address
- 1115 North H. C. Mathis Drive
Paducah, KY 42001-2340 - Phone
- (270) 443-9494
- Fax
- (270) 442-7812
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 29, 2010
- 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. William A. Woods
- Title
- Owner/President
- Phone
- (270) 217-5199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1115 North H. C. Mathis Drive
Paducah, KY 42001-2340
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000070323 | Other | KY | BLUE CROSS |
| 90001462 | Medicaid | KY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Orthopedic Institute of Western Kentucky
- Orthopaedic Surgery Physician
- Paducah, KY
- NPI 1427165554
Member Of
Member organizations 3
Organizations listed as members of this organization in the National Provider Directory.
-
dba Orthopedic Institute of Western Kentucky
- Orthopaedic Surgery Physician
- Paducah, KY
- NPI 1225021819
Member Of
-
dba Orthopedic Institute of Western Kentucky
- Orthopaedic Surgery Physician
- Paducah, KY
- NPI 1427165554
Member Of
Locations
1115 N HC Mathis Dr
Paducah, KY 42001
Phone (270) 443-9494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1629186499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 NORTH H. C. MATHIS DRIVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420012340",
"telephone_number": "270-443-9494",
"fax_number": "270-442-7812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENTERPRISE MEDICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "270-217-5199",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00000070323",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90001462",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.