Schryver Medical Sales and Marketing, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

SCHRYVER MEDICAL SALES AND MARKETING, LLC

Practice address

6000 S Eastern Ave
Suite 1-B
Las Vegas, NV 89119-3125

Phone

(800) 638-3240

Fax

(303) 576-7986

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Doug Goetz

Title

Ceo

Phone

(303) 371-0073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 29X0009813

Legal name

SCHRYVER MEDICAL SALES AND MARKETING, LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jun 15, 2016

Last certification

Apr 29, 2016

Ownership / control type

Other Than Private

Facility address

6000 S Eastern Ave, Suite 1-B
Las Vegas, NV 89119

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1063890564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39931",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802390931",
            "telephone_number": "303-376-2716",
            "fax_number": "303-785-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S EASTERN AVE",
            "address_2": "SUITE 1-B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193125",
            "telephone_number": "800-638-3240",
            "fax_number": "303-576-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRYVER MEDICAL SALES AND MARKETING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-371-0073"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimi Leigh Schroeder, BS
• Shelly Schroeder
• Damon Thomas Schroer, M.D.
• Desiree Schroerlucke
• Erin Schroll
• Schryver Medical Sales and Marketing, LLC
• Carolyn A Schubert, B.A
• Jacqueline Schubert
• Richard Auyeung Schubert, MD
• Renee Schuch

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.