Active NPI
Knight Medical Supply L.L.C.
- Durable Medical Equipment & Medical Supplies
- Stillwater, OK
National Provider Identifier
1194881953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KNIGHT MEDICAL SUPPLY L.L.C.
- Practice address
- 802 S Lewis St
Stillwater, OK 74074-4621 - Phone
- (405) 743-1646
- Fax
- (405) 743-8202
- NPI assigned
- Dec 28, 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
- Mrs. Shelia Mae Knight
- Title
- Owner, Manager
- Phone
- (405) 743-1646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
802 S Lewis St
Stillwater, OK 74074-4621
Mailing address
802 S Lewis St
Stillwater, OK 74074-4621
Phone (405) 743-1646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1064120001 | Other | OK | MEDICARE ID PRIOR TO 01/01/07 |
| 100811470A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024516 | OK | DME Supplier - Medical Supply Company | 9830393693 | Practice locations: Stillwater, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Knight Medical Supply LLC | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Externa… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
802 S Lewis St
Stillwater, OK 74074
Phone (405) 743-1646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1194881953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 S LEWIS ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744621",
"telephone_number": "405-743-1646",
"fax_number": "405-743-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 S LEWIS ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744621",
"telephone_number": "405-743-1646",
"fax_number": "405-743-8202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNIGHT MEDICAL SUPPLY L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "SHELIA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER, MANAGER",
"authorized_official_telephone_number": "405-743-1646",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID PRIOR TO 01/01/07",
"identifier": "1064120001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100811470A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.