MEDICARE: PTMD CONSULTANTS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1952122525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PTMD CONSULTANTS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 55006
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72215-5006
Country	:	US
Telephone Number	:	501-553-0000
Fax Number	:	501-600-4781

Provider Business Practice Location Address
First Line	:	1507 LINWOOD DR
Second Line	:
City	:	PARAGOULD
State	:	AR
Zip	:	72450-5818
Country	:	US
Telephone Number	:	501-553-0000
Fax Number	:	501-600-4781

Authorized Official
Title or Position	:	OWNER OF ENTITY
Name	:	SAMEER JAIN
Credential	:
Telephone Number	:	856-313-7911

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	03/17/2025

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