Russell K Benevage

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

RUSSELL K BENEVAGE

Doing business as

Allied Medical Equipment Repair & Services

Practice address

842 S Post Oak Rd
Sulphur, LA 70663-5244

Phone

(337) 533-0001

Fax

(337) 533-0007

NPI assigned

Jan 3, 2008

Last updated

Jan 3, 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

Mr. Russell Benevage

Title

Owner

Phone

(337) 533-0001

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Allied Medical Equipment Repair & Services Doing business as

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1134304561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706641627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 S POST OAK RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635244",
            "telephone_number": "337-533-0001",
            "fax_number": "337-533-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL K BENEVAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BENEVAGE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-533-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1195910",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Medical Equipment Repair & Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roadrunner Ability Access, LLC
• Alycia L Rodgers, M.D.
• Isaac Rodriguez
• Mildred Michelle Rodriguez, MS, LPC, LMFT-A, CSC
• Roger Glen Grimball Jr. D.D.S. LLC (Grimball Pediatric Dentistry)
• SBS Iom, LLC
• Emily Callens Scuderi, FNP
• Morgan Michele Seaford, APRN
• Taylor Ann Shirley
• Brook Shiyou, MA, BCBA

• Customized Equipment (DME) in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.