Stats Medical Supplies & Equipment

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

R2412 Issued in MD

Legal business name

STATS MEDICAL SUPPLIES & EQUIPMENT

Practice address

10760 Hickory Ridge Rd
Suite 123
Columbia, MD 21044-3682

Phone

(301) 617-0066

Fax

(443) 542-9372

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Olushola E Fashina

Title

Ceo

Phone

(301) 617-0066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1497924898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD",
            "address_2": "SUITE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "301-617-0066",
            "fax_number": "443-542-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD",
            "address_2": "SUITE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "301-617-0066",
            "fax_number": "443-542-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATS MEDICAL SUPPLIES & EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "FASHINA",
        "authorized_official_first_name": "OLUSHOLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-617-0066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Columbia, MD
• Providers in Columbia, MD by specialty
• Oxygen Equipment & Supplies (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.