Organization Active NPI

Medeq Medical & Surgical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1881687580
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01-9152121 Issued in NE
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

Updated by the provider on Feb 23, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0590661MedicaidIA
100250417-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.