Organization Active NPI

Pulmonary and Sleep Diagnostics LLC

  • Durable Medical Equipment & Medical Supplies
  • Paragould, AR
National Provider Identifier
1558473835
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PULMONARY AND SLEEP DIAGNOSTICS LLC
Practice address
101 W Court St Ste 1
Paragould, AR 72450-4337
Phone
(870) 239-2033
Fax
(870) 239-4204
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jason Caleb Sapp, RRT, RPSGT
Title
Owner/Ceo
Phone
(870) 239-2033

Specialties & licenses 1

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

Addresses

Primary practice location

101 W Court St Ste 1
Paragould, AR 72450-4337

Mailing address

PO Box 856
1011 Linwood Dr
Paragould, AR 72451
Phone (870) 239-2033

Other identifiers 1

IdentifierTypeStateIssuer
130068716MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100724 AR DME Supplier - Medical Supply Company 3375690167 Practice locations: Paragould, AR

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Freedom Sleep Center101 W Court St, Paragould, AR 72450-4337(870) 239-2033 Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|Ventilators Accessories and/or Supplies Accepts assignmentParticipating since Dec 1, 2008

National Provider Directory

National Provider Directory

Locations

606 N 5th St
Ste A
Blytheville, AR 72315
Phone (870) 239-2033

2717 E Nettleton Ave
Ste F
Jonesboro, AR 72401
Phone (870) 239-2033

101 W Court St
Ste 1
Paragould, AR 72450
Phone (870) 239-2033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558473835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "address_2": "1011 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72451",
            "telephone_number": "870-239-2033",
            "fax_number": "870-239-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W COURT ST STE 1",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504337",
            "telephone_number": "870-239-2033",
            "fax_number": "870-239-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "870-239-2033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT, RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130068716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.