Active NPI
Stevens Surgical Supply, Inc
- Durable Medical Equipment & Medical Supplies
- Worthington, OH
National Provider Identifier
1205994654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- HMEL11213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0232617 | Medicaid | OH |
Other names 1
- Senior Care Services
National Provider Directory
National Provider DirectoryLocations
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.