NPIMap

Organization Active NPI

Stateserv Medical

  • Oxygen Equipment & Supplies (DME)
  • Leesburg, FL
National Provider Identifier
1700324944
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
STATESERV MEDICAL
Practice address
31661 Executive Blvd
Suite 2
Leesburg, FL 34748-8735
Phone
(480) 966-9730
NPI assigned
Feb 8, 2017
Organization subpart
Yes
Parent organization
STATESERV COMPANIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Christopher Roode
Title
Coo
Phone
(877) 633-7250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

31661 Executive Blvd
Suite 2
Leesburg, FL 34748-8735

Mailing address

1201 S. Alma School Road
Suite 4000
Mesa, AZ 85210

Other names 1

  • StateServ Medical of Florida Other name

National Provider Directory

National Provider Directory
Tax ID family
Stateserv Medical of Florida LLC9 organizations share this tax ID, including this one
Part of
Stateserv Medical LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31661 Executive Blvd
Ste 2
Leesburg, FL 34748
Phone (480) 966-9730

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1700324944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31661 EXECUTIVE BLVD",
            "address_2": "SUITE 2",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488735",
            "telephone_number": "480-966-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATESERV COMPANIES",
        "enumeration_date": "2017-02-08",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical of Florida",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical of Florida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.