Organization Active NPI

Steve'S Vans & Accessories Unlimited LLC

  • Durable Medical Equipment & Medical Supplies
  • Marietta, OH
National Provider Identifier
1164508776
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
84018902 Issued in OH
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

Updated by the provider on Dec 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
311099975002OtherOHMEDICAL MUTUAL OF OHIO
000000242032OtherOHANTHEM BLUE CROSS BLUE SH
2015250OtherOHMEDICAL CASE MANAGEMENT
6204048000MedicaidWV
2015250MedicaidOH
31109997500OtherOHBWC
8400493OtherOHMRDD

Other names 1

  • MARIETTA MOBILITY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.