Suffolk Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

001878 Issued in VA

Legal business name

SUFFOLK HOME MEDICAL

Practice address

815 W Constance Rd
Suffolk, VA 23434-5649

Phone

(757) 539-2772

Fax

(757) 539-5037

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Inman

Title

Owner

Phone

(941) 473-1187

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1104907922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GRAND PALMS BLVD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231808",
            "telephone_number": "941-473-1187",
            "fax_number": "941-473-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W CONSTANCE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345649",
            "telephone_number": "757-539-2772",
            "fax_number": "757-539-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-473-1187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "001878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAS PROVIDER NUMBER",
            "identifier": "7700372",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER(BCBS)",
            "identifier": "062865",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009133321",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerod Stukes, BBS, ACC, APM, CSAC,
• Suffolk Anesthesia Associates
• Suffolk City Public Schools
• Suffolk Eye Associates PC
• Suffolk Eye Physicians and Surgeons
• Suffolk Psychiatric Group
• Suffolk Psychotherapy, Inc.
• Suffolk Radiology Associates, Inc.
• Suffolk Surgical Associates LLC
• Suffolk VA Opco LLC

• Durable Medical Equipment & Medical Supplies in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.