Certified Medical Systems I, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20-8012346099-6 Issued in FL

Legal business name

CERTIFIED MEDICAL SYSTEMS I, INC

Practice address

2141 Loch Rane Blvd
Suite 116
Orange Park, FL 32073-5723

Phone

(904) 272-3022

NPI assigned

Jul 12, 2006

Last updated

May 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Dillman

Title

Vice-President

Phone

(904) 272-3022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1841225182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 LOCH RANE BLVD",
            "address_2": "SUITE 116",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735723",
            "telephone_number": "904-272-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LOCH RANE BLVD",
            "address_2": "SUITE 116",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735723",
            "telephone_number": "904-272-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED MEDICAL SYSTEMS I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "904-272-3022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "20-8012346099-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Albert Catz, PT
• Nicole Michelle Cavanaugh, LMT
• Nedzad Cavka, PT
• Kathryn Cecere, DPM
• Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
• Minor Chamblin, PH.D
• Allison Culbreth Chan, MD
• John Chan, M.D.
• Sushama Channaveeraiah
• Ashlee Kyler Channell

• Durable Medical Equipment & Medical Supplies in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.