Ideal Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IDEAL MEDICAL EQUIPMENT, LLC

Practice address

2417 Chickasaw Blvd
Ardmore, OK 73401-1466

Phone

(580) 226-2323

Fax

(580) 226-2326

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Tynes

Title

Officer

Phone

(580) 222-9622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1336312917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 CHICKASAW BLVD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011466",
            "telephone_number": "580-226-2323",
            "fax_number": "580-226-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 CHICKASAW BLVD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011466",
            "telephone_number": "580-226-2323",
            "fax_number": "580-226-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "TYNES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "580-222-9622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Husting, LCSW
• Andrea Hutchings
• Norma Hutson, CRNA
• Steven Hyden
• Ideal Home Care, LLC
• Ignite Sports and Rehab of Ardmore Inc
• Imc of Oklahoma, LLC
• Eryka Grace Imhof
• Independent Medical Products
• Keith Ingle

• Durable Medical Equipment & Medical Supplies in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.