NPIMap

Organization Active NPI

Leading Respiratory Services Inc.

  • Oxygen Equipment & Supplies (DME)
  • Lucasville, OH
National Provider Identifier
1285748236
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
021035750 Issued in OH
Legal business name
LEADING RESPIRATORY SERVICES INC.
Practice address
10679 US 23
Lucasville, OH 45648
Phone
(740) 259-0199
Fax
(740) 259-1738
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Phillip Wayne Sandlin
Title
Ceo President
Phone
(740) 259-0199

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 021035750 OH
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 021035750 OH
Oxygen Equipment & Supplies (DME) 332BX2000X 021035750 OH Primary

Addresses

Primary practice location

10679 US 23
Lucasville, OH 45648

Mailing address

PO Box 255
McDermott, OH 45652-0255
Phone (740) 259-0199

Other identifiers 6

IdentifierTypeStateIssuer
000000278277OtherANTHEM
000000278277OtherOHIO OPERATING ENGINEERS
6205030000MedicaidWV
90272097MedicaidKY
5239089OtherAETNA
2555828MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930047265 OH DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1355461815 Practice locations: Lucasville, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Leading Respiratory Services Inc10679 US 23, Lucasville, OH 45648(740) 259-0199 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Suppl… Does not accept assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Leading Respiratory Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1285748236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "MCDERMOTT",
            "state": "OH",
            "postal_code": "456520255",
            "telephone_number": "740-259-0199",
            "fax_number": "740-259-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10679 US 23",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "45648",
            "telephone_number": "740-259-0199",
            "fax_number": "740-259-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING RESPIRATORY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "740-259-0199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "021035750",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "021035750",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "021035750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000278277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OPERATING ENGINEERS",
            "identifier": "000000278277",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6205030000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90272097",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5239089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucasville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.