Organization Active NPI

Stevens Surgical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Worthington, OH
National Provider Identifier
1205994654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL11213 Issued in OH
Legal business name
STEVENS SURGICAL SUPPLY, INC
Practice address
771 Dearborn Park LN
Suite Q
Worthington, OH 43085-5720
Phone
(614) 846-5740
Fax
(614) 846-5745
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert William Hoyer
Title
President
Phone
(614) 846-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL11213 OH Primary

Addresses

Primary practice location

771 Dearborn Park LN
Suite Q
Worthington, OH 43085-5720

Mailing address

771 Dearborn Park LN
Suite Q
Worthington, OH 43085-5720
Phone (614) 846-5740

Other identifiers 1

IdentifierTypeStateIssuer
0232617MedicaidOH

Other names 1

  • Senior Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

771 Dearborn Park Ln
Ste Q
Worthington, OH 43085
Phone (614) 846-5740

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205994654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 DEARBORN PARK LN",
            "address_2": "SUITE Q",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855720",
            "telephone_number": "614-846-5740",
            "fax_number": "614-846-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 DEARBORN PARK LN",
            "address_2": "SUITE Q",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855720",
            "telephone_number": "614-846-5740",
            "fax_number": "614-846-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS SURGICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-846-5740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL11213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.