Surf Medical Source

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SURF MEDICAL SOURCE

Practice address

9149 Estate Thomas
Paragon Medical Building Ste 304
St Thomas, VI 00802-2615

Phone

(340) 714-5151

Fax

(708) 335-2294

NPI assigned

Aug 9, 2012

Last updated

Aug 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy W Fox

Title

Manager

Phone

(340) 714-5151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377907200000",
    "number": "1235486200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12423",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008015423",
            "telephone_number": "340-714-5151",
            "fax_number": "708-335-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON MEDICAL BUILDING STE 304",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-714-5151",
            "fax_number": "708-335-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF MEDICAL SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2013-08-31",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "340-714-5151"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Customized Equipment (DME) in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; 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.