Organization Active NPI

Choice Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Ames, IA
National Provider Identifier
1639231814
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CHOICE MEDICAL, LLC
Practice address
2117 Philadelphia St
Suite 120
Ames, IA 50010-8775
Phone
(515) 232-6000
Fax
(515) 232-2600
NPI assigned
Dec 14, 2006
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Mr. Kevin Henning
Title
Owner
Phone
(515) 232-6000

Specialties & licenses 1

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

Addresses

Primary practice location

2117 Philadelphia St
Suite 120
Ames, IA 50010-8775

Mailing address

2117 Philadelphia St
Suite 120
Ames, IA 50010-8775
Phone (515) 232-6000

Other identifiers 2

IdentifierTypeStateIssuer
0262709MedicaidIA
46080OtherIAWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930099351 IA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1153534862 Practice locations: Ames, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Choice Medical2117 Philadelphia St, Ames, IA 50010-8775(515) 232-6000 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet Ligh… Does not accept assignmentParticipating since May 23, 2002

National Provider Directory

National Provider Directory

Locations

2117 Philadelphia St
Ste 120
Ames, IA 50010
Phone (515) 232-6000

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1639231814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 PHILADELPHIA ST",
            "address_2": "SUITE 120",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108775",
            "telephone_number": "515-232-6000",
            "fax_number": "515-232-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 PHILADELPHIA ST",
            "address_2": "SUITE 120",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108775",
            "telephone_number": "515-232-6000",
            "fax_number": "515-232-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-232-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262709",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "46080",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.