Jered Kaine Caraway, CEO

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1003442 Issued in TX

Practice address

8503 Gulf Fwy
Houston, TX 77017-5086

Phone

(713) 906-7436

Fax

(713) 955-9034

NPI assigned

Jul 15, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1003653171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 VALKEITH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964838",
            "telephone_number": "713-906-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175086",
            "telephone_number": "713-906-7436",
            "fax_number": "713-955-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "JERED",
        "middle_name": "KAINE",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1003442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Paige Caramanian, OTR/L
• Virgilio C Carandang, MD
• Mark E Caranto
• Melody M. Caranto, RN, GNP, ANP
• Ashley Caraway, NNP
• Nancy P. Caraway, M.D.
• Shelley Marie Caraway, M.D.
• Wendy D Carazo, PA-C
• Roger Francisco Carbajal Mendoza, M.D.
• Andres Carbajal

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.