Organization Active NPI

Stan's Medical & Respiratory Equipment, Inc

  • Oxygen Equipment & Supplies (DME)
  • Baxley, GA
National Provider Identifier
1295765972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
STAN'S MEDICAL & RESPIRATORY EQUIPMENT, INC
Practice address
438 W Parker St
Baxley, GA 31513-0649
Phone
(912) 366-8777
Fax
(912) 367-1132
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryann Smith
Title
President
Phone
(912) 366-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

438 W Parker St
Baxley, GA 31513-0649

Mailing address

438 W Parker St
Baxley, GA 31513-0649
Phone (912) 366-8777

Other identifiers 1

IdentifierTypeStateIssuer
00888005AMedicaidGA

National Provider Directory

National Provider Directory

Locations

438 W Parker St
Baxley, GA 31513
Phone (912) 366-8777

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295765972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W PARKER ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130649",
            "telephone_number": "912-366-8777",
            "fax_number": "912-367-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W PARKER ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130649",
            "telephone_number": "912-366-8777",
            "fax_number": "912-367-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAN'S MEDICAL & RESPIRATORY EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-366-8777"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888005A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.