Lendon L Elmore

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

RCP0779 Issued in MS

Practice address

104 Vaughn Dr
Lucedale, MS 39452-3316

Phone

(601) 947-0032

NPI assigned

Mar 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breathe Easier USA

  • Durable Medical Equipment & Medical Supplies
  • Lucedale, MS
  • NPI 1114018827
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1992976187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394520914",
            "telephone_number": "601-947-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 VAUGHN DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394523316",
            "telephone_number": "601-947-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "LENDON",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "RCP0779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440097",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Ronnie Harrison P.a.
• Ginger E. Dunnam-Smith, M.D.
• Dva Healthcare Renal Care Inc
• E Kevin Ohea MD General Family Practice LLC
• Autumn Denise Edwards
• Encore Rehabilitation Inc
• Ashley Nicole Eubanks, PHARMD
• Eugene Kevin Ohea Dr E Kevin Ohea
• Eye Care Center
• Afton Andrews Farris, OT

• Durable Medical Equipment & Medical Supplies in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.