Organization Active NPI

Advance Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1053647842
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0078307 Issued in TX
Legal business name
ADVANCE MEDICAL SERVICES
Practice address
6448 E Hwy 290
Suite B102
Austin, TX 78723-1068
Phone
(512) 371-8876
NPI assigned
Oct 28, 2009
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Kenneth Gossip
Title
Pres.
Phone
(512) 371-8876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0078307 TX Primary

Addresses

Primary practice location

6448 E Hwy 290
Suite B102
Austin, TX 78723-1068

Mailing address

6448 E Hwy 290
Suite B102
Austin, TX 78723-1068
Phone (512) 371-8876

Other identifiers 1

IdentifierTypeStateIssuer
016458401MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1053647842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290",
            "address_2": "SUITE B102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231068",
            "telephone_number": "512-371-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290",
            "address_2": "SUITE B102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231068",
            "telephone_number": "512-371-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "GOSSIP",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "512-371-8876"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0078307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016458401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.