Organization Active NPI

Stat DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Victoria, TX
National Provider Identifier
1215238803
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAT DME LLC
Practice address
2001 E Sabine St
Ste 104
Victoria, TX 77901-5644
Phone
(361) 573-5600
Fax
(361) 573-5601
NPI assigned
Nov 12, 2010
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Imelda SheeranNPI 1124289178
Title
President
Phone
(316) 573-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2001 E Sabine St
Ste 104
Victoria, TX 77901-5644

Mailing address

2001 E Sabine St
Ste 104
Victoria, TX 77901-5644
Phone (361) 573-5600

National Provider Directory

National Provider Directory

Locations

2001 E Sabine St
Ste 104
Victoria, TX 77901
Phone (361) 573-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1215238803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E SABINE ST",
            "address_2": "STE 104",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015644",
            "telephone_number": "361-573-5600",
            "fax_number": "361-573-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E SABINE ST",
            "address_2": "STE 104",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015644",
            "telephone_number": "361-573-5600",
            "fax_number": "361-573-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "SHEERAN",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-573-5600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.