Active NPI
Steve'S Vans & Accessories Unlimited LLC
- Durable Medical Equipment & Medical Supplies
- Marietta, OH
National Provider Identifier
1164508776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 84018902
- Legal business name
- STEVE'S VANS & ACCESSORIES UNLIMITED LLC
- Doing business as
- MARIETTA MOBILITY
- Practice address
- 211 S 8TH St
Marietta, OH 45750-3349 - Phone
- (740) 374-3154
- Fax
- (740) 374-9713
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Keith Hesson
- Title
- Owner
- Phone
- (740) 374-3154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 84018902 | OH | Primary |
Addresses
Primary practice location
211 S 8TH St
Marietta, OH 45750-3349
Mailing address
211 S 8TH St
Marietta, OH 45750-3349
Phone (740) 374-3154
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311099975002 | Other | OH | MEDICAL MUTUAL OF OHIO |
| 000000242032 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| 2015250 | Other | OH | MEDICAL CASE MANAGEMENT |
| 6204048000 | Medicaid | WV | |
| 2015250 | Medicaid | OH | |
| 31109997500 | Other | OH | BWC |
| 8400493 | Other | OH | MRDD |
Other names 1
- MARIETTA MOBILITY
National Provider Directory
National Provider DirectoryLocations
211 S 8th St
Marietta, OH 45750
Phone (740) 374-3154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229385600000",
"number": "1164508776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S 8TH ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503349",
"telephone_number": "740-374-3154",
"fax_number": "740-374-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 8TH ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503349",
"telephone_number": "740-374-3154",
"fax_number": "740-374-9713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVE'S VANS & ACCESSORIES UNLIMITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2008-12-16",
"status": "A",
"authorized_official_last_name": "HESSON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-374-3154",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "84018902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "311099975002",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "000000242032",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL CASE MANAGEMENT",
"identifier": "2015250",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6204048000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015250",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "31109997500",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MRDD",
"identifier": "8400493",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARIETTA MOBILITY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.