Active NPI
Kathy J Adams
- Customized Equipment (DME)
- Greenville, PA
National Provider Identifier
1720182330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- C18354
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2208873 | Medicaid | OH |
Other names 1
- KATHCO MEDICAL SUPPLY
National Provider Directory
National Provider DirectoryNPI 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.