Active NPI
Medeq Medical & Surgical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
National Provider Identifier
1881687580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01-9152121
- Legal business name
- MEDEQ MEDICAL & SURGICAL SUPPLY INC
- Practice address
- 9140 W Dodge Rd
Omaha, NE 68114-3322 - Phone
- (402) 934-1695
- Fax
- (402) 934-1635
- NPI assigned
- Aug 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Saul K Onyeuku
- Title
- President
- Phone
- (402) 934-1695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01-9152121 | NE | Primary |
Addresses
Primary practice location
9140 W Dodge Rd
Omaha, NE 68114-3322
Mailing address
9140 W Dodge Rd
Omaha, NE 68114-3317
Phone (402) 934-1695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0590661 | Medicaid | IA | |
| 100250417-00 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
9140 W Dodge Rd
Omaha, NE 68114
Phone (402) 934-1695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1881687580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143317",
"telephone_number": "402-934-1695",
"fax_number": "402-934-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143322",
"telephone_number": "402-934-1695",
"fax_number": "402-934-1635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEQ MEDICAL & SURGICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-26",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "ONYEUKU",
"authorized_official_first_name": "SAUL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-934-1695",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": "01-9152121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0590661",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250417-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.