Mattress Gallery

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MATTRESS GALLERY

Practice address

3125 Lone Oak Rd
Suite B
Paducah, KY 42003-5743

Phone

(270) 554-7225

Fax

(270) 554-7242

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By 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

Ms. Paula Gale Brewer

Title

Owner/Operator

Phone

(270) 554-7242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1790094530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 LONE OAK RD",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035743",
            "telephone_number": "270-554-7225",
            "fax_number": "270-554-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 LONE OAK RD",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035743",
            "telephone_number": "270-554-7225",
            "fax_number": "270-554-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTRESS GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "270-554-7242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Mason, MD
• Robert P Masse, R.N., A.R.N.P
• Grant Mathis, PHARM.D.
• Emma Caroline Mattingly, M.ED., LPCC
• Holly C Mattingly
• Mason Thomas Matzek, CRNA
• David John Mauterer, MD
• Tish Chambrae Mavigliano, R.D., L.D., CDE
• Elizabeth I Maxedon
• Brittany Ann May, PTA

• Parenteral & Enteral Nutrition Supplies (DME) in Paducah, KY
• Providers in Paducah, KY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Kentucky

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