Organization Active NPI

Star Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amarillo, TX
National Provider Identifier
1033428107
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000445 Issued in TX
Legal business name
STAR MEDICAL EQUIPMENT, INC.
Practice address
6661 Canyon Dr
Suite D
Amarillo, TX 79110-4343
Phone
(806) 331-7778
Fax
(806) 331-7769
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Mr. Gerald Lynn Woolam Jr.
Title
Director
Phone
(806) 762-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000445 TX Primary

Addresses

Primary practice location

6661 Canyon Dr
Suite D
Amarillo, TX 79110-4343

Mailing address

11912 Slide Rd
Lubbock, TX 79424-7445
Phone (806) 762-6777

Other identifiers 1

IdentifierTypeStateIssuer
1000445OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES

National Provider Directory

National Provider Directory

Locations

6661 Canyon Dr
Ste D
Amarillo, TX 79110
Phone (806) 331-7778

516 Ash St
Plainview, TX 79072
Phone (806) 288-9977

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1033428107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247445",
            "telephone_number": "806-762-6777",
            "fax_number": "806-762-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 CANYON DR",
            "address_2": "SUITE D",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791104343",
            "telephone_number": "806-331-7778",
            "fax_number": "806-331-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WOOLAM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-762-6777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "1000445",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.