Organization Active NPI

Med Plus, LLC

  • Durable Medical Equipment & Medical Supplies
  • Mary Esther, FL
National Provider Identifier
1467498337
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312903 Issued in FL
Legal business name
MED PLUS, LLC
Practice address
323 Page Bacon Rd
Suite # 14
Mary Esther, FL 32569-1610
Phone
(850) 226-6331
Fax
(850) 226-6332
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Mr. Thearon L Shipman
Title
President/Owner
Phone
(850) 226-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312903 FL Primary

Addresses

Primary practice location

323 Page Bacon Rd
Suite # 14
Mary Esther, FL 32569-1610

Mailing address

323 Page Bacon Rd
Suite # 14
Mary Esther, FL 32569-1610
Phone (850) 226-6331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1467498337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 PAGE BACON RD",
            "address_2": "SUITE # 14",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691610",
            "telephone_number": "850-226-6331",
            "fax_number": "850-226-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 PAGE BACON RD",
            "address_2": "SUITE # 14",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691610",
            "telephone_number": "850-226-6331",
            "fax_number": "850-226-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "THEARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-226-6331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.