Organization Active NPI

Performance Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Summerville, SC
National Provider Identifier
1851597488
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFORMANCE MEDICAL SUPPLY INC.
Practice address
622 Old Trolley Rd
Suite 126
Summerville, SC 29485-5674
Phone
(843) 486-5274
Fax
(843) 486-5279
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Kevin M Hester
Title
Owner
Phone
(803) 791-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

622 Old Trolley Rd
Suite 126
Summerville, SC 29485-5674

Mailing address

622 Old Trolley Rd
Suite 126
Summerville, SC 29485-5674
Phone (843) 486-5274

National Provider Directory

National Provider Directory

Locations

622 Old Trolley Rd
Ste 126
Summerville, SC 29485
Phone (843) 486-5274

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1851597488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 OLD TROLLEY RD",
            "address_2": "SUITE 126",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855674",
            "telephone_number": "843-486-5274",
            "fax_number": "843-486-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 OLD TROLLEY RD",
            "address_2": "SUITE 126",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855674",
            "telephone_number": "843-486-5274",
            "fax_number": "843-486-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-791-5904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.