Organization Active NPI

Skyline Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Paintsville, KY
National Provider Identifier
1346246907
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MG0500 Issued in KY
Legal business name
SKYLINE MEDICAL EQUIPMENT
Practice address
818 S Mayo TRL
Paintsville, KY 41240-1384
Phone
(606) 789-7730
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jerry Neibert Daniel
Title
Owner
Phone
(606) 789-7730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X MG0500 KY Primary

Addresses

Primary practice location

818 S Mayo TRL
Paintsville, KY 41240-1384

Mailing address

PO Box 249
Thelma, KY 41260-0249
Phone (606) 789-7730

Other identifiers 2

IdentifierTypeStateIssuer
90240581MedicaidKY
00000360319OtherKYANTHEM BCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346246907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "THELMA",
            "state": "KY",
            "postal_code": "412600249",
            "telephone_number": "606-789-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401384",
            "telephone_number": "606-789-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "NEIBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-789-7730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "MG0500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90240581",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "00000360319",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.