Active NPI
Choice Medical, LLC
- Oxygen Equipment & Supplies (DME)
- Ames, IA
National Provider Identifier
1639231814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262709 | Medicaid | IA | |
| 46080 | Other | IA | WELLMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099351 | IA | DME Supplier - Medical Supply Company | 1153534862 | Practice locations: Ames, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Choice Medical | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.