Patriot Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

LC001487324 Issued in MO

Legal business name

PATRIOT MEDICAL SUPPLIES

Practice address

519 W Main St
Jackson, MO 63755-1740

Phone

(573) 290-2881

NPI assigned

Dec 11, 2017

Last updated

Dec 11, 2017By 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

Charlene FrameNPI 1497313191

Title

Owner/Managing Director

Phone

(516) 286-0929

Specialties & licenses 1

Addresses

Tax ID family

Patriot Medical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patriot Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MO
  • NPI 1700230331
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlene Frame

  • Health Information Specialist/Technologist
  • Stockbridge, GA
  • NPI 1497313191
  NPD (past) Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1700391877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "BOLINGBROKE",
            "state": "GA",
            "postal_code": "310040184",
            "telephone_number": "516-286-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W MAIN ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551740",
            "telephone_number": "573-290-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "FRAME",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "516-286-0929"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC001487324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Relief Clinic LLC
• Pappas Chiropractic Health Center, P.C. (Jackson Healing Arts)
• Philip Christ Pappas, DC
• Jake Ryan Partridge, M.S. SLP-CCC
• Patriot Medical Supplies
• Aliecia Diann Penrod
• Charles S Pewitt, DO
• Julia Annette Pewitt, D.O.
• Richel Pingkian
• Lindsey Michelle Pippins, MABC, BT, QIDP, DDP

• Durable Medical Equipment & Medical Supplies in Jackson, MO
• Providers in Jackson, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.