NPIMap

Organization Active NPI

JB Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
National Provider Identifier
1568798817
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
69000526A Issued in IN
Legal business name
JB MEDICAL SUPPLIES
Practice address
815 John St
Suite 120 B
Evansville, IN 47713-2746
Phone
(812) 491-8300
NPI assigned
Oct 21, 2009
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Ms. Julia Beth Baker, CFTS
Title
Owner
Phone
(812) 228-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 69000526A IN Primary

Addresses

Primary practice location

815 John St
Suite 120 B
Evansville, IN 47713-2746

Mailing address

815 John St
Suite 120 B
Evansville, IN 47713-2746
Phone (812) 491-8300

Other identifiers 1

IdentifierTypeStateIssuer
69000526AOtherINHOME MEDICAL EQUIPMENT SERVICE PROVIDER

National Provider Directory

National Provider Directory

Locations

815 John St
Ste 120
Evansville, IN 47713
Phone (812) 228-6222

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1568798817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JOHN ST",
            "address_2": "SUITE 120 B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-491-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JOHN ST",
            "address_2": "SUITE 120 B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-491-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-228-6222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000526A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL EQUIPMENT SERVICE PROVIDER",
            "identifier": "69000526A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.