Prosource Medical Equipment and Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

117978 Issued in OK

Legal business name

PROSOURCE MEDICAL EQUIPMENT AND SUPPLIES

Practice address

6801 S Eastern Ave
Oklahoma City, OK 73149-2300

Phone

(888) 691-3237

Fax

(405) 691-3395

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steven Russell Webb

Title

Administrator

Phone

(888) 691-3237

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1114917747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S EASTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731492300",
            "telephone_number": "888-691-3237",
            "fax_number": "405-691-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S EASTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731492300",
            "telephone_number": "888-691-3237",
            "fax_number": "405-691-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOURCE MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-691-3237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "117978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prompt Services Inc
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• Brett M. Propes, MD
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• Laura M Propester, P.A.-C
• Prosper Speech Services PLLC
• Prospera Healthcare Oklahoma LLC
• Kiera R Proud, O.T.R.
• Nathan N. Proud, D.D.S.
• Tyler Jay Prouty

• Durable Medical Equipment & Medical Supplies in Oklahoma City, OK
• Providers in Oklahoma City, 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 Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.