M-a-D Medical Supplies & Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

M-A-D MEDICAL SUPPLIES & EQUIPMENT

Doing business as

MAD Medical Supplies & Equipment

Practice address

104 Lisas Way
Elizabeth City, NC 27909-9625

Phone

(252) 207-6695

NPI assigned

May 31, 2021

Last updated

Feb 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shameika Simone Martin

Title

Ceo

Phone

(984) 810-8844

Specialties & licenses 1

Addresses

Other names 1

• MAD Medical Supplies & Equipment Doing business as

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1699341750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LISAS WAY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099625",
            "telephone_number": "984-810-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LISAS WAY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099625",
            "telephone_number": "252-207-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-A-D MEDICAL SUPPLIES & EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHAMEIKA",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-810-8844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAD Medical Supplies & Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Nicole Lovell, BCBA, LBA
• Nina Dewi Lucas, M.D.
• Daniel H Lynam, PA C
• Lindsey Hassell Lynam, RPH
• Brittany N Lysik, DPT
• Emilie Macdonald, RBT
• Desra Mack, LPC
• Suzanne Hock Macmorris, PHD MSW LCSW
• Olivia Magnuson, RBT
• Amelia Bezerra Maguire, DPM

• Durable Medical Equipment & Medical Supplies in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.