Senior Care Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SENIOR CARE MEDICAL SUPPLY, INC.

Practice address

1001 E 20TH St
Okmulgee, OK 74447-6029

Phone

(918) 756-1749

Fax

(918) 756-1754

NPI assigned

Sep 7, 2005

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Edward Studdard

Title

President

Phone

(918) 756-1749

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1083608855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744470473",
            "telephone_number": "918-756-1749",
            "fax_number": "918-756-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 20TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476029",
            "telephone_number": "918-756-1749",
            "fax_number": "918-756-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "STUDDARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-756-1749"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811500",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731435468-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda L Ruleford, DDS
• Billy Ray Sadler Jr.
• Michael E Sandlin, M.D.
• Kristine Erika Schrader, M.A.
• Paul D. Schultz, P.T.
• Billy Christopher Sferner
• Ladonna Kay Shadlow, CBHCM, BA
• Shantel Farrow
• Kathryn Shelby
• Kristine Grunewald Siegenthaler, OTRL/CHT/CLT

• Durable Medical Equipment & Medical Supplies in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.