Active NPI
Durable Medical Equipment, Inc
- Oxygen Equipment & Supplies (DME)
- Auburn, MA
National Provider Identifier
1790881530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- DURABLE MEDICAL EQUIPMENT, INC
- Practice address
- 42 Southbridge St
Auburn, MA 01501-2582 - Phone
- (508) 407-7700
- Fax
- (508) 407-7717
- NPI assigned
- Sep 16, 2006
- Organization subpart
- Yes
- Parent organization
- RELIANT MEDICAL GROUP, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tarek Elsawy, M.D.
- Title
- President and Ceo
- Phone
- (508) 852-0600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
42 Southbridge St
Auburn, MA 01501-2582
Mailing address
5 Neponset St
Worcester, MA 01606-2714
Phone (508) 852-0600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA31092 | Other | MA | HARVARD PILGRIM HC |
| 2354 | Other | MA | PAYOR FCHP |
| 400154 | Other | MA | BCBS |
Other names 1
- Lakeview Medical Inc
National Provider Directory
National Provider Directory- Part of
- Fallon Clinic Pharmacy
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
42 Southbridge St
Auburn, MA 01501
Phone (508) 407-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550793600000",
"number": "1790881530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-852-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 SOUTHBRIDGE ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015012582",
"telephone_number": "508-407-7700",
"fax_number": "508-407-7717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURABLE MEDICAL EQUIPMENT, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RELIANT MEDICAL GROUP, INC",
"enumeration_date": "2006-09-16",
"last_updated": "2019-02-22",
"status": "A",
"authorized_official_last_name": "ELSAWY",
"authorized_official_first_name": "TAREK",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "508-852-0600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HC",
"identifier": "AA31092",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAYOR FCHP",
"identifier": "2354",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "400154",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeview Medical Inc",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Lakeview Medical Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.