Organization Active NPI

Physician's Choice Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Sterling, CO
National Provider Identifier
1730177148
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PHYSICIAN'S CHOICE MEDICAL, LLC
Practice address
402 N 3Rd St
Sterling, CO 80751-3302
Phone
(970) 522-7188
Fax
(970) 522-7194
NPI assigned
Oct 10, 2005
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Lonnie Blake DorceyNPI 1033165113
Title
Prsident/Owner
Phone
(205) 566-1674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

402 N 3Rd St
Sterling, CO 80751-3302

Mailing address

PO Box 550309
Birmingham, AL 35255-0309
Phone (205) 566-1674

Other identifiers 1

IdentifierTypeStateIssuer
30577365MedicaidCO

National Provider Directory

National Provider Directory

Locations

402 N 3rd St
Sterling, CO 80751
Phone (970) 522-7188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1730177148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352550309",
            "telephone_number": "205-566-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N 3RD ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513302",
            "telephone_number": "970-522-7188",
            "fax_number": "970-522-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S CHOICE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "DORCEY",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRSIDENT/OWNER",
        "authorized_official_telephone_number": "205-566-1674"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30577365",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.