NPIMap

Organization Active NPI

Leading Respiratory Services Inc.

  • Oxygen Equipment & Supplies (DME)
  • Waverly, OH
National Provider Identifier
1467566414
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
021035750 Issued in OH
Legal business name
LEADING RESPIRATORY SERVICES INC.
Practice address
111 E 2ND St
Waverly, OH 45690-1303
Phone
(740) 941-3377
Fax
(740) 941-0619
NPI assigned
Aug 18, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Phillip Wayne Sandlin
Title
Ceo President
Phone
(740) 259-0199

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 021035750 OH
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 021035750 OH
Oxygen Equipment & Supplies (DME) 332BX2000X 021035750 OH Primary

Addresses

Primary practice location

111 E 2ND St
Waverly, OH 45690-1303

Mailing address

111 E 2ND St
Waverly, OH 45690-1303
Phone (740) 941-3377

Other identifiers 6

IdentifierTypeStateIssuer
6205030000MedicaidWV
90272097MedicaidKY
5239089OtherAETNA
2555784MedicaidOH
000000278277OtherANTHEM
000000278277OtherOHOHIO OPERATING ENGINEERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930085486 OH DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company 1355461815 Practice locations: Waverly, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Leading Respiratory Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 E 2nd St
Waverly, OH 45690
Phone (740) 941-3377

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1467566414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 2ND ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901303",
            "telephone_number": "740-941-3377",
            "fax_number": "740-941-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 2ND ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901303",
            "telephone_number": "740-941-3377",
            "fax_number": "740-941-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING RESPIRATORY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "740-259-0199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "021035750",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "021035750",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "021035750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6205030000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90272097",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5239089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555784",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000278277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OPERATING ENGINEERS",
            "identifier": "000000278277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.