Classic Fit and Forms Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000008856 Issued in PA

Legal business name

CLASSIC FIT AND FORMS INC

Practice address

900 5TH Ave
4TH Floor
Pittsburgh, PA 15219-4737

Phone

(412) 281-9913

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Laurie J Churma, CMF

Title

Owner

Phone

(412) 281-9913

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1669829156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 5TH AVE",
            "address_2": "4TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194737",
            "telephone_number": "412-281-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 5TH AVE",
            "address_2": "4TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194737",
            "telephone_number": "412-281-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC FIT AND FORMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "CHURMA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-281-9913",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000008856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030813640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy L Clarke, LPC
• Isabel Rose Clarkson, CRNP
• Kristin Clarkson
• Madalyn Adele Clarkson, PA-C
• Classic Fit and Forms Inc
• Kristen Claus, LCSW
• Alyse Sarah Clausen, RN
• Christopher Clawson, PHARMD
• Joanna Clawson, LSW
• Rene Noelle Claxton, MD

• Durable Medical Equipment & Medical Supplies in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.