Organization Active NPI

Superior Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Crossett, AR
National Provider Identifier
1265664296
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR MEDICAL EQUIPMENT
Practice address
106 Ray Lochala Rd
Crossett, AR 71635-4542
Phone
(870) 364-1500
Fax
(870) 364-1502
NPI assigned
Aug 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Gerald T Woods Jr., LRCP
Title
Owner/Manager
Phone
(870) 364-9346

Specialties & licenses 1

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

Addresses

Primary practice location

106 Ray Lochala Rd
Crossett, AR 71635-4542

Mailing address

PO Box 1381
Crossett, AR 71635-1381
Phone (870) 364-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930074144 AR DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 6800086976 Practice locations: Crossett, AR

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Superior Medical Equipment LLC106 Ray Lochala Rd, Crossett, AR 71635-4542(870) 364-1500 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplie… Accepts assignmentParticipating since Feb 25, 2010

National Provider Directory

National Provider Directory

Locations

106 Ray Lochala Rd
Crossett, AR 71635
Phone (870) 364-1500

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1265664296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1381",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716351381",
            "telephone_number": "870-364-1500",
            "fax_number": "870-364-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RAY LOCHALA RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354542",
            "telephone_number": "870-364-1500",
            "fax_number": "870-364-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-08",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "870-364-9346",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LRCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.

Verify at the official NPI Registry.