Samsteve B Ombat

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

855 E Mishawaka Rd Lot 13
Elkhart, IN 46517-2394

Phone

(574) 322-8520

NPI assigned

Oct 11, 2011

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1669757555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E MISHAWAKA RD LOT 13",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465172394",
            "telephone_number": "574-322-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E MISHAWAKA RD LOT 13",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465172394",
            "telephone_number": "574-322-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBAT",
        "first_name": "SAMSTEVE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Odviar
• Karen Ogden, RPH
• Shahir Okhovat-Ghahfarokhi, M.D.
• Michelle M Olson, LCSW
• Tamara Clare Olson, FNP
• Vivian U Onunkwo, MD
• Eli Opacich, PHARMD
• Open and Wide MRI LLC
• Open and Wide MRI, LLC
• Optum Behavioral Care of Colorado, P.C. (Keys Counseling of Indiana)

• Durable Medical Equipment & Medical Supplies in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.