Schryver Medical Sales and Marketing LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

602467854 Issued in WA

Legal business name

SCHRYVER MEDICAL SALES AND MARKETING LLC

Practice address

12668 Interurban Ave S.
Tukwila, WA 98168-3314

Phone

(206) 985-4000

Fax

(206) 985-3857

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Doug Goetz

Title

Ceo

Phone

(303) 371-0073

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 50X0009829

Legal name

SCHRYVER MEDICAL SALES & MARKETING INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jun 1, 2005

Last certification

Jun 1, 2005

Ownership / control type

CORPORATION

Facility address

12668 Interurban Avenue South
Tukwila, WA 98168

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1285672261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 E 45TH AVE",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393123",
            "telephone_number": "303-371-0073",
            "fax_number": "303-785-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12668 INTERURBAN AVE S.",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683314",
            "telephone_number": "206-985-4000",
            "fax_number": "206-985-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRYVER MEDICAL SALES AND MARKETING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-371-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "WA",
            "license": "602467854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Schlottmann
• Spankie Schmidt
• Kaylee Schneiderhan, M.ED., LBA, BCBA
• Elizabeth Annette Schomburg
• Jennifer Schoolcraft, LMT
• Nieahha Schubert
• Taylor Schueler
• Nicole Schuerenberg, CNA
• Ralf Schuler, DDS, MSD, PHD
• Alyssa Schultz-Chapman

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.