Summit South DME, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SUMMIT SOUTH DME, LLC

Practice address

9357 Interline Ave Ste 205
Baton Rouge, LA 70809-1910

Phone

(225) 256-6456

Fax

(225) 256-6457

NPI assigned

Feb 4, 2020

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Cubbedge

Title

Owner

Phone

(225) 256-6456

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1558992966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9357 INTERLINE AVE STE 205",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091910",
            "telephone_number": "225-256-6456",
            "fax_number": "504-303-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9357 INTERLINE AVE STE 205",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091910",
            "telephone_number": "225-256-6456",
            "fax_number": "225-256-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SOUTH DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "CUBBEDGE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-256-6456"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.