Madison Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MADISON MEDICAL SUPPLY

Practice address

5313 50TH St Ste D6
Lubbock, TX 79414-1838

Phone

(806) 281-9181

Fax

(806) 281-9176

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Jack Bohannon

Title

President

Phone

(806) 281-9181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1891027389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 50TH ST STE D6",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141838",
            "telephone_number": "806-281-9181",
            "fax_number": "806-281-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 50TH ST STE D6",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141838",
            "telephone_number": "806-281-9181",
            "fax_number": "806-281-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-281-9181"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Macias Tovar, DDS
• Shelly A Macias, LAT
• Brendan James Mackay, M.D.
• Amy M Maclean, PT
• Gerry L Maddoux, M.D.
• Arrington Madison, MD
• Eric N/a Madrid, DNAP
• Howard F Madsen, RD, PHARMD
• Mae Services LLC
• Mary Maeker, BSN, RN, CA-SANE, CP

• All providers in Lubbock, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.