Medigy LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0075939 Issued in TX

Legal business name

MEDIGY LLC

Practice address

1822 N Sylvania Ave
Fort Worth, TX 76111-2755

Phone

(817) 379-6334

Fax

(817) 379-6335

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Ken Harding

Title

Ceo

Phone

(817) 379-6334

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Billy Max Eden, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1356370464
  NPD (past)
• Mark David Forester, BS CCSH

  • Health Educator
  • Fort Worth, TX
  • NPI 1558961227
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1881630762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N SYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112755",
            "telephone_number": "817-379-6334",
            "fax_number": "817-379-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N SYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112755",
            "telephone_number": "817-379-6334",
            "fax_number": "817-379-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-379-6334"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0075939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1661852-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1661852-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Provider Services LLC
• Medical Supplies N Such, LLC
• Medici Neuromonitoring LLC
• Medicine Store Pharmacy
• Medicine Store Pharmacy
• Lisa Medina Nguyen, LMSW
• Karen Medina-Barron, RN
• Ashley Medina
• Christopher Ariel Medina, D.O.
• Kimberly Medina

• Durable Medical Equipment & Medical Supplies in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.