Everett Service Provider Multi Medical Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EVERETT SERVICE PROVIDER MULTI MEDICAL GROUP

Practice address

7296 Quaker Dr
Suffolk, VA 23437-8903

Phone

(757) 235-0463

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

John R PaigeNPI 1184111502

Title

Vice President

Phone

(757) 793-0146

Specialties & licenses 1

Addresses

Practitioners 1

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

• John R Paige

  • Home Health Agency
  • Suffolk, VA
  • NPI 1184111502
  NPD Authorized official

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1659897213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 QUAKER DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234378903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7296 QUAKER DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234378903",
            "telephone_number": "757-235-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT SERVICE PROVIDER MULTI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-793-0146"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albony Evans
• Carrie Evans
• Lachelle Evans, FNP-C
• Sharon Hyatt Evans, CCC-SLP
• Shionda M Evans, LCSW
• Excel in Care Home Health Agency, LLC
• Expressions Home Health Care
• Exquisite Comfort Home Care LLC
• Extended Hands LLC
• Kasha Denna Fadoul, FNP-BC

• Durable Medical Equipment & Medical Supplies in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.