Organization Active NPI

P M Medical Products LTD

  • Durable Medical Equipment & Medical Supplies
  • Hanover TWP, PA
National Provider Identifier
1902839558
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
P M MEDICAL PRODUCTS LTD
Practice address
1275 Sans Souci Pkwy
Hanover TWP, PA 18706-5229
Phone
(570) 445-9214
Fax
(570) 550-9907
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Peter Burrritt Mailloux, MHSNPI 1073781118
Title
Owner
Phone
(570) 445-9214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1275 Sans Souci Pkwy
Hanover TWP, PA 18706-5229

Mailing address

1275 Sans Souci Pkwy
Hanover TWP, PA 18706-5229
Phone (570) 445-9214

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pmmedicalproducts@ptd.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151009001684 PA DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 0941518021 Practice locations: Hanover TWP, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
P M Medical Products LTD1275 Sans Souci Pkwy, Hanover TWP, PA 18706-5229(570) 445-9214 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transc… Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory

Locations

1275 Sans Souci Pkwy
Hanover Township, PA 18706
Phone (570) 445-9214

1335 Highway 315 Blvd
Ste 1
Wilkes Barre, PA 18702
Phone (570) 445-9214

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1902839558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SANS SOUCI PKWY",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065229",
            "telephone_number": "570-445-9214",
            "fax_number": "570-550-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SANS SOUCI PKWY",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065229",
            "telephone_number": "570-445-9214",
            "fax_number": "570-550-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P M MEDICAL PRODUCTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "MAILLOUX",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BURRRITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-445-9214",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmmedicalproducts@ptd.net",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1275 Sans Souci Pkwy",
            "city": "Hanover Twp",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187065229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.