B & a Medical Supply

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

888623 Issued in OK

Legal business name

B & A MEDICAL SUPPLY

Practice address

301 N 13TH St
Frederick, OK 73542-4405

Phone

(580) 335-7334

Fax

(580) 335-7445

NPI assigned

Mar 19, 2007

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Allen Wilson Sr.

Title

President

Phone

(580) 335-7334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1699899138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "address_2": "301 N 13TH ST",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735420946",
            "telephone_number": "580-335-7334",
            "fax_number": "580-335-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 13TH ST",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735424405",
            "telephone_number": "580-335-7334",
            "fax_number": "580-335-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & A MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-335-7334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OK",
            "license": "888623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Abbott
• Ryan Douglas Ade, P.T., A.T.C.
• Clay Wesley Anderson, D.D.S.
• Stephanie Alisha Batt, PA
• Connie Bookout
• Edye A Calderon, PAC
• Bernette Calvin
• Paul D Carpenter, D. PH.

• Customized Equipment (DME) in Frederick, OK
• Providers in Frederick, OK by specialty
• Customized Equipment (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.