Med Systems, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01138484000 Issued in NM

Legal business name

MED SYSTEMS, INC.

Practice address

825 E Roosevelt Ave
Grants, NM 87020-2115

Phone

(505) 287-2450

Fax

(505) 287-2497

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Donn Zortman

Title

Owner/Director

Phone

(505) 287-2450

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1841200359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202115",
            "telephone_number": "505-287-2450",
            "fax_number": "505-287-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202115",
            "telephone_number": "505-287-2450",
            "fax_number": "505-287-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "ZORTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DONN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "505-287-2450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "01138484000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NM",
            "identifier": "00NM00T21P",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K4985",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Diane Martinez, RN
• Jeffrey Ray Mattila, D.D.S.
• Randolph Mattila
• Melinda M McGuire, LPC
• Helene McNeill, RN
• Valerie Medina Hurst, LCSW
• Terry W Menning, DR
• Stephanie C Merling
• Janet Elaine Meydam, MS, OTR/L
• Rebecca Jane Meyer, RN

• Durable Medical Equipment & Medical Supplies in Grants, NM
• Providers in Grants, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.