Organization Active NPI

Darem Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1164515854
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DAREM MEDICAL LLC
Practice address
11760 S Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-2374
Phone
(225) 293-0491
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Mr. David O. Willoughby
Title
Manager
Phone
(225) 293-0491

Specialties & licenses 1

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

Addresses

Primary practice location

11760 S Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-2374

Mailing address

11760 S Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-2374
Phone (225) 293-0491

Other identifiers 1

IdentifierTypeStateIssuer
1079529MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1164515854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 S HARRELLS FERRY RD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162374",
            "telephone_number": "225-293-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S HARRELLS FERRY RD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162374",
            "telephone_number": "225-293-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAREM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-293-0491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079529",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.