Medsurge Group, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4000007089 Issued in PA

Legal business name

MEDSURGE GROUP, INC.

Practice address

6112 Germantown Ave
Suite 1F
Philadelphia, PA 19144-2048

Phone

(215) 843-5205

Fax

(215) 843-5206

NPI assigned

Feb 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Gbemudu, RN

Title

President

Phone

(215) 843-5205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710950415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 DOUGLAS RD",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387507",
            "telephone_number": "215-836-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 GERMANTOWN AVE",
            "address_2": "SUITE 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442048",
            "telephone_number": "215-843-5205",
            "fax_number": "215-843-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSURGE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GBEMUDU",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-843-5205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "4000007089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.