Physician Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHYSICIAN MEDICAL SUPPLY INC

Practice address

4229 Majorna Dr
West Salem, OH 44287-9652

Phone

(419) 945-2980

Fax

(419) 945-2981

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Berry Armstrong, LSW

Title

Owner

Phone

(419) 945-2980

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• www.physicianmedical.com Other name

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1669473427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 MAJORNA DR",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879652",
            "telephone_number": "419-945-2980",
            "fax_number": "419-945-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 MAJORNA DR",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879652",
            "telephone_number": "419-945-2980",
            "fax_number": "419-945-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-945-2980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "www.physicianmedical.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracy Lynn Meuer
• Misty M. Noble, LPN
• Northwestern Local Schools
• Alexandra Oring
• Tina Peters
• Krystin Rae Reynolds, LPN
• Rebecca Louise Reynolds
• Rhonda Bodager
• Becky Rose Rupert, ND, CNC, CCH
• Kassandra R Sersig, LISW

• Durable Medical Equipment & Medical Supplies in West Salem, OH
• Providers in West Salem, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.