Organization Active NPI

Stultz Home Medical Supplies Inc

  • Internal Medicine Physician
  • Greenup, KY
National Provider Identifier
1194756361
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STULTZ HOME MEDICAL SUPPLIES INC
Doing business as
D&D Infusions, Inc.
Practice address
1615 Ashland Rd
Greenup, KY 41144-1207
Phone
(606) 831-1129
Fax
(606) 473-7174
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Brad Stultz
Title
President
Phone
(606) 473-7346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1615 Ashland Rd
Greenup, KY 41144-1207

Mailing address

1615 Ashland Rd
Greenup, KY 41144-1207
Phone (606) 473-7346

Other identifiers 1

IdentifierTypeStateIssuer
90070459MedicaidKY

Other names 1

  • D&D Infusions, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1615 Ashland Rd
Greenup, KY 41144
Phone (606) 473-7346

1617 Ashland Rd
Greenup, KY 41144
Phone (606) 831-1129

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1194756361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 ASHLAND RD",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441207",
            "telephone_number": "606-473-7346",
            "fax_number": "606-473-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 ASHLAND RD",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441207",
            "telephone_number": "606-831-1129",
            "fax_number": "606-473-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STULTZ HOME MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "STULTZ",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-473-7346"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90070459",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&D Infusions, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D&D Infusions, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenup, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.