Jasper Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

060172 Issued in AL

Legal business name

JASPER MEDICAL SUPPLY, INC.

Practice address

4330 Highway 78 E
Suite 103
Jasper, AL 35501-8905

Phone

(205) 295-0044

Fax

(205) 295-0028

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By 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

Mr. Shane Lee Tyree

Title

Owner

Phone

(205) 295-0044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609829399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 HIGHWAY 78 E",
            "address_2": "SUITE 103",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018905",
            "telephone_number": "205-295-0044",
            "fax_number": "205-295-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 HIGHWAY 78 E",
            "address_2": "SUITE 103",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018905",
            "telephone_number": "205-295-0044",
            "fax_number": "205-295-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-295-0044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": "060172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Doctors Clinic and Urgent Care Inc.
• Jasper Family Practice Center PC
• Jasper Gastroenterology Inc.
• Jasper General Surgery
• Jasper Hearing Center, LLC
• Jasper Pediatric Dentistry, LLC
• Jasper Podiatry Center, P.C.
• Jasper Senior Living LLC (The Terrace Senior Living Community)
• Jasper Urgent Care
• Miali Praytor Jennings, CRNP

• Oxygen Equipment & Supplies (DME) in Jasper, AL
• Providers in Jasper, AL by specialty
• Oxygen Equipment & Supplies (DME) in Alabama

• 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.