Jacket Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACKET MEDICAL SUPPLY, LLC

Practice address

239 College St
Gadsden, AL 35901-4134

Phone

(888) 777-0759

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Skylar DeermanNPI 1063132959

Title

Member Manager

Phone

(888) 777-0759

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Skylar L Deerman

  • Electroneurodiagnostic Specialist/Technologist
  • Gadsden, AL
  • NPI 1063132959
  NPD Authorized official
• Steven L Bayer, MD

  • Gynecology Physician
  • Gadsden, AL
  • NPI 1679619266
  NPD (past)
• Kyle Parke Christenberry, M.D.

  • Gynecology Physician
  • Gadsden, AL
  • NPI 1699845172
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1710545843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 COLLEGE ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014134",
            "telephone_number": "888-777-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 COLLEGE ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014134",
            "telephone_number": "888-777-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKET MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "DEERMAN",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "888-777-0759",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Roswell Isbell IV, D.M.D
• Jessica Isbell, CRNP
• Sathyan V Iyer, M.D.
• J & T, Inc. (J & T Healthcare, Inc.)
• J Randolph Hawkins DMD PA
• Jacksonville Internal Medicine
• Sawan Sharad Jalnapurkar, M.D.
• James Michael Gen PTR
• Cierra P James, OTR/L
• Farrukh Jamil, MD

• Durable Medical Equipment & Medical Supplies in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.