Organization Active NPI

Esb Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Saint Louis, MO
National Provider Identifier
1568460368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
2003022170 Issued in MO
Legal business name
ESB MEDICAL LLC
Practice address
6651 Chippewa St
Suite 219
Saint Louis, MO 63109-2538
Phone
(314) 646-0980
Fax
(314) 646-0613
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randall Ratay
Title
President
Phone
(314) 646-0980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 2003022170 MO Primary

Addresses

Primary practice location

6651 Chippewa St
Suite 219
Saint Louis, MO 63109-2538

Mailing address

6651 Chippewa St
Suite 219
Saint Louis, MO 63109-2538
Phone (314) 646-0980

National Provider Directory

National Provider Directory

Locations

6651 Chippewa St
Ste 219
Saint Louis, MO 63109
Phone (314) 352-0834

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568460368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA ST",
            "address_2": "SUITE 219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-646-0980",
            "fax_number": "314-646-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA ST",
            "address_2": "SUITE 219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-646-0980",
            "fax_number": "314-646-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESB MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATAY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-646-0980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MO",
            "license": "2003022170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.