Organization Active NPI

Kathy J Adams

  • Customized Equipment (DME)
  • Greenville, PA
National Provider Identifier
1720182330
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
C18354 Issued in PA
Legal business name
KATHY J ADAMS
Practice address
39 Hadley Rd
Greenville, PA 16125-1239
Phone
(724) 589-0262
Fax
(724) 589-5975
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mr. Kathy J Adams, ORTHODICS
Title
President/Owner
Phone
(724) 589-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X C18354 PA Primary

Addresses

Primary practice location

39 Hadley Rd
Greenville, PA 16125-1239

Mailing address

PO Box 286
Greenville, PA 16125-0286
Phone (724) 589-0262

Other identifiers 1

IdentifierTypeStateIssuer
2208873MedicaidOH

Other names 1

  • KATHCO MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1720182330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161250286",
            "telephone_number": "724-589-0262",
            "fax_number": "724-589-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HADLEY RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251239",
            "telephone_number": "724-589-0262",
            "fax_number": "724-589-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY J ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-589-0262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ORTHODICS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "C18354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208873",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KATHCO MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.