Hawkeye Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HAWKEYE MEDICAL, LLC

Practice address

10630 Little Patuxent Pkwy
Suite 126
Columbia, MD 21044-3264

Phone

(443) 832-4244

Fax

(443) 832-4375

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ashok F Kapur

Title

Manager

Phone

(443) 832-4244

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Colmbia Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1689731275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 126",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "443-832-4244",
            "fax_number": "443-832-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 126",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "443-832-4244",
            "fax_number": "443-832-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-832-4244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012196700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colmbia Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Alexis Hatchett
• Faith Hatefi
• Juwaun R Hatton
• Jaaska Hauser, APRN
• Sheri Shaffer Hawes, LCPC
• Toni Hawkins
• Tomeeka Renee Hawthorne, RN
• Christina Hayden
• Carly Hayes
• Courtney Anaya Hayes, LGPC

• Durable Medical Equipment & Medical Supplies in Columbia, MD
• Providers in Columbia, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

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