Ironman Medical Sales, L.L.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IRONMAN MEDICAL SALES, L.L.C.

Practice address

5509 Grenada Dr
Fort Worth, TX 76119-8502

Phone

(214) 734-2243

Fax

(214) 276-1672

NPI assigned

Jun 29, 2008

Organization subpart

No

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

Authorized official

Name

Jeremiah Heath Johnson

Title

Principal

Phone

(214) 734-2243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1457513681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 GRENADA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198502",
            "telephone_number": "214-734-2243",
            "fax_number": "214-276-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 GRENADA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198502",
            "telephone_number": "214-734-2243",
            "fax_number": "214-276-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONMAN MEDICAL SALES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "214-734-2243"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.