Concinnity Medical Devices, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CONCINNITY MEDICAL DEVICES, INC

Practice address

2 Flower CT
Lakeside Park, KY 41017-2102

Phone

(859) 609-7460

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Ann McMican Ryle

Title

Ceo

Phone

(859) 609-7460

Specialties & licenses 1

Addresses

Other names 1

• Ben Guard Doing business as

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1740965201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FLOWER CT",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410172102",
            "telephone_number": "859-609-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FLOWER CT",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410172102",
            "telephone_number": "859-609-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCINNITY MEDICAL DEVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MCMICAN RYLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-609-7460",
        "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": "Ben Guard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie S. Adams, DO
• Richard Blaine Beaven, M.D.
• Joshua M Benge, M.D.
• Bryan Fallis
• Aarielle Cooley, CNM
• Ellen Yass-Reed, M.a. PLLC
• Fragge Allergy & Asthma Clinics PSC
• Christina Friedly, DO
• Jacqueline Leight Reichert Grimes

• All providers in Lakeside Park, KY
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.