Organization Active NPI

Cutting Edge Medical LLC

Doing business as Country Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Bonham, TX
National Provider Identifier
1811921067
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CUTTING EDGE MEDICAL LLC
Doing business as
Country Medical Supply
Practice address
2620 N Center St
Ste 103 a
Bonham, TX 75418-2100
Phone
(903) 640-0202
Fax
(903) 640-0223
NPI assigned
Jul 11, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
David Lane Oliver
Title
Owner
Phone
(903) 640-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary

Addresses

Primary practice location

2620 N Center St
Ste 103 a
Bonham, TX 75418-2100

Mailing address

PO Box 249
Bonham, TX 75418-0249
Phone (903) 640-0202

Other names 1

  • Country Medical Supply Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1811921067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754180249",
            "telephone_number": "903-640-0202",
            "fax_number": "903-640-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N CENTER ST",
            "address_2": "STE 103 A",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182100",
            "telephone_number": "903-640-0202",
            "fax_number": "903-640-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-640-0202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.