Organization Active NPI

Duramed, Inc

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1578800157
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURAMED, INC
Practice address
11135 Industriplex Blvd
Suite 800
Baton Rouge, LA 70809-4114
Phone
(225) 751-1224
Fax
(225) 751-1224
NPI assigned
Jan 15, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DURAMED, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mr. Ricky Walter Decastro Sr.
Title
President
Phone
(504) 467-4057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

11135 Industriplex Blvd
Suite 800
Baton Rouge, LA 70809-4114

Mailing address

1015 24TH St
Kenner, LA 70062-5268
Phone (504) 467-4057

Other identifiers 2

IdentifierTypeStateIssuer
B6939OtherLABCBS OF LOUISIANA
1669814MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Duramed Inc8 organizations share this tax ID, including this one
Part of
Duramed Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11135 Industriplex Blvd
Ste 800
Baton Rouge, LA 70809
Phone (225) 751-1224

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1578800157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 24TH ST",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625268",
            "telephone_number": "504-467-4057",
            "fax_number": "504-467-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 INDUSTRIPLEX BLVD",
            "address_2": "SUITE 800",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094114",
            "telephone_number": "225-751-1224",
            "fax_number": "225-751-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMED, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DURAMED, INC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-467-4057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA",
            "identifier": "B6939",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669814",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.