Active NPI
North Central Medical Corporation Inc
Doing business as Diabetic Solutions Inc
- Durable Medical Equipment & Medical Supplies
- Gainesville, FL
National Provider Identifier
1811975725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NORTH CENTRAL MEDICAL CORPORATION INC
- Doing business as
- Diabetic Solutions Inc
- Practice address
- 4001 Newberry Rd
Ste A2
Gainesville, FL 32607-2358 - Phone
- (352) 373-9656
- Fax
- (352) 374-4136
- NPI assigned
- Jan 3, 2006
- Last updated
- Oct 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jack B Thompson III
- Title
- Ceo
- Phone
- (352) 373-9656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
4001 Newberry Rd
Ste A2
Gainesville, FL 32607-2358
Mailing address
PO Box 142098
Gainesville, FL 32614-2098
Phone (352) 373-9656
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010070554 | Other | VA | VIRGINIA MEDICAL ASSISTAN |
| 606429698A | Medicaid | GA | |
| DM1139 | Other | SC | SOUTH CAROLINA MEDICAID P |
| 009930935 | Medicaid | AL | |
| 1164348 | Medicaid | LA | |
| 0440757 | Medicaid | MS | |
| 7703365 | Medicaid | NC |
Other names 1
- Diabetic Solutions Inc
National Provider Directory
National Provider DirectoryLocations
4001 Newberry Rd
Ste A2
Gainesville, FL 32607
Phone (352) 373-9656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254960000000",
"number": "1811975725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142098",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326142098",
"telephone_number": "352-373-9656",
"fax_number": "352-374-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 NEWBERRY RD",
"address_2": "STE A2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072358",
"telephone_number": "352-373-9656",
"fax_number": "352-374-4136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL MEDICAL CORPORATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-03",
"last_updated": "2009-10-08",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "352-373-9656",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA MEDICAL ASSISTAN",
"identifier": "010070554",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "606429698A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA MEDICAID P",
"identifier": "DM1139",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009930935",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164348",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440757",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703365",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diabetic Solutions Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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- North Central Florida Hospice, Inc. (Haven Hospice)
- North Florida Cancer Institute PA
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- North Florida Chiropractic Center PA
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- North Florida Foot & Ankle Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.