Sun Country Medical Equipment, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0031287 Issued in TX

Legal business name

SUN COUNTRY MEDICAL EQUIPMENT, INC

Practice address

2019 E Missouri Ave
El Paso, TX 79903-3504

Phone

(915) 592-4346

Fax

(915) 592-4369

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Yasser Haydar

Title

Ceo/Owner

Phone

(915) 592-4346

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1619964533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033504",
            "telephone_number": "915-592-4346",
            "fax_number": "915-592-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033504",
            "telephone_number": "915-592-4346",
            "fax_number": "915-592-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN COUNTRY MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "HAYDAR",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "915-592-4346"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0031287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015986501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087206101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hadya@suncountrymedical.com",
            "affiliation": "N",
            "address_1": "2019 E Missouri Ave",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799033504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in El Paso, TX
• Providers in El Paso, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.