Concordia Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3000008051 Issued in PA

Legal business name

CONCORDIA MEDICAL EQUIPMENT

Practice address

615 N Pike Rd
Cabot, PA 16023-2215

Phone

(724) 352-1100

Fax

(724) 352-6030

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brad L Milliron

Title

Ceo

Phone

(724) 352-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1871683243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N PIKE RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "16023",
            "telephone_number": "724-352-1100",
            "fax_number": "724-352-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N PIKE RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232215",
            "telephone_number": "724-352-1100",
            "fax_number": "724-352-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "MILLIRON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-352-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000008051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017981640001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101798164001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene A. Aughton, SLP
• Amber Bowser, OTD, OTR/L, CLWT
• Bravis Enterprises, Inc
• Concordia Lutheran Health and Human Care
• Concordia Lutheran Health and Human Care
• Concordia Physician Practice
• Concordia Telecaregivers Dba Concordia Private Care
• Concordia Visiting Nurses
• Craig Taylor, MD PC
• Cara Degrano, OTD, OTR/L

• All providers in Cabot, PA
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.