Organization Active NPI

Essex Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Bluffton, SC
National Provider Identifier
1699094664
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ESSEX MEDICAL SUPPLY
Practice address
20 Towne Dr
Suite 246
Bluffton, SC 29910-4204
Phone
(843) 837-3758
Fax
(866) 936-8405
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Mr. Andrew H. Keil
Title
President
Phone
(843) 837-3758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X AK2734 SC

Addresses

Primary practice location

20 Towne Dr
Suite 246
Bluffton, SC 29910-4204

Mailing address

20 Towne Dr
Suite 246
Bluffton, SC 29910-4204
Phone (843) 837-3758

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1699094664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWNE DR",
            "address_2": "SUITE 246",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104204",
            "telephone_number": "843-837-3758",
            "fax_number": "866-936-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWNE DR",
            "address_2": "SUITE 246",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104204",
            "telephone_number": "843-837-3758",
            "fax_number": "866-936-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-837-3758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "AK2734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.