Duraline Medical Products, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

69010053 Issued in OH

Legal business name

DURALINE MEDICAL PRODUCTS, INC.

Practice address

324 Werner St
Leipsic, OH 45856-1039

Phone

(419) 943-2044

Fax

(419) 943-3637

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Jo Peck

Title

General Manager

Phone

(419) 943-2044

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811950595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "LEIPSIC",
            "state": "OH",
            "postal_code": "458560067",
            "telephone_number": "419-943-2044",
            "fax_number": "419-943-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WERNER ST",
            "city": "LEIPSIC",
            "state": "OH",
            "postal_code": "458561039",
            "telephone_number": "419-943-2044",
            "fax_number": "419-943-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURALINE MEDICAL PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "419-943-2044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "69010053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208608",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Jorell Delgado
• Brian Dukes
• Cody Dukes
• Dana Dukes
• Dale Edward Dulle Jr., D.C.
• Gwen Gratz, RN
• Hart Dental Associates, LLC
• Tricia Kirkendall Horstman, RPH
• Brandy Rose Hovest, R.N.
• Inner Light ABA & Behavioral Consulting LLC

• Durable Medical Equipment & Medical Supplies in Leipsic, OH
• Providers in Leipsic, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.