Active NPI
Med Plus of NWF
- Oxygen Equipment & Supplies (DME)
- Mary Esther, FL
National Provider Identifier
1699093971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- MED PLUS OF NWF
- Practice address
- 323 Page Bacon Rd
Suite 14
Mary Esther, FL 32569-1610 - Phone
- (850) 226-6331
- Fax
- (850) 226-6332
- NPI assigned
- May 11, 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
- Thearon L Shipman Jr.
- Title
- Owner
- Phone
- (850) 240-0093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
323 Page Bacon Rd
Suite 14
Mary Esther, FL 32569-1610
Mailing address
323 Page Bacon Rd
Suite 14
Mary Esther, FL 32569-1610
Phone (850) 226-6331
National Provider Directory
National Provider DirectoryLocations
323 Page Bacon Rd
Ste 14
Mary Esther, FL 32569
Phone (850) 226-6331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1699093971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 PAGE BACON RD",
"address_2": "SUITE 14",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691610",
"telephone_number": "850-226-6331",
"fax_number": "850-226-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 PAGE BACON RD",
"address_2": "SUITE 14",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691610",
"telephone_number": "850-226-6331",
"fax_number": "850-226-6332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED PLUS OF NWF",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "SHIPMAN",
"authorized_official_first_name": "THEARON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-240-0093",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.