Organization Active NPI

United Sports Apparel & Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Ann Arbor, MI
National Provider Identifier
1073670741
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNITED SPORTS APPAREL & MEDICAL EQUIPMENT
Doing business as
USA Medical Equipment
Practice address
221 Jackson Industrial Drive
Ann Arbor, MI 48103-9192
Phone
(734) 761-1990
Fax
(734) 761-8977
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Daniel R Gubachy
Title
VP Cfo
Phone
(734) 761-1990

Specialties & licenses 1

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

Addresses

Primary practice location

221 Jackson Industrial Drive
Ann Arbor, MI 48103-9192

Mailing address

PO Box 310
Dexter, MI 48130-0310
Phone (734) 761-1990

Other identifiers 1

IdentifierTypeStateIssuer
540H10298OtherBCBS

Other names 1

  • USA Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

221 Jackson Industrial Dr
Ann Arbor, MI 48103
Phone (734) 761-1990

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1073670741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481300310",
            "telephone_number": "734-761-1990",
            "fax_number": "734-761-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 JACKSON INDUSTRIAL DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039192",
            "telephone_number": "734-761-1990",
            "fax_number": "734-761-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPORTS APPAREL & MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GUBACHY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "734-761-1990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540H10298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.