NPIMap

Organization Active NPI

Signaturemedicalservices,LLC

  • Durable Medical Equipment & Medical Supplies
  • Largo, MD
National Provider Identifier
1114172582
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
22039 Issued in MD
Legal business name
SIGNATUREMEDICALSERVICES,LLC
Practice address
619 Avis Dr
Largo, MD 20774-2283
Phone
(877) 271-9620
Fax
(800) 671-9167
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. Sonnie E Abebaku
Title
Administrator
Phone
(877) 271-9620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22039 MD Primary

Addresses

Primary practice location

619 Avis Dr
Largo, MD 20774-2283

Mailing address

619 Avis Dr
Largo, MD 20774-2283
Phone (877) 271-9620

National Provider Directory

National Provider Directory
Tax ID family
Signaturemedicalservicesinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1114172582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 AVIS DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742283",
            "telephone_number": "877-271-9620",
            "fax_number": "800-671-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 AVIS DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742283",
            "telephone_number": "877-271-9620",
            "fax_number": "800-671-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATUREMEDICALSERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "ABEBAKU",
        "authorized_official_first_name": "SONNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "877-271-9620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "22039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.