Organization Active NPI

North Central Medical Corporation Inc

Doing business as Diabetic Solutions Inc

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, FL
National Provider Identifier
1811975725
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010070554OtherVAVIRGINIA MEDICAL ASSISTAN
606429698AMedicaidGA
DM1139OtherSCSOUTH CAROLINA MEDICAID P
009930935MedicaidAL
1164348MedicaidLA
0440757MedicaidMS
7703365MedicaidNC

Other names 1

  • Diabetic Solutions Inc Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Gainesville, FL

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.

Verify at the official NPI Registry.