Organization Active NPI

Star Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Plainview, TX
National Provider Identifier
1730231978
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0093664 Issued in TX
Legal business name
STAR MEDICAL EQUIPMENT, INC.
Practice address
516 Ash St
Plainview, TX 79072-8018
Phone
(806) 288-9977
Fax
(806) 288-9978
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Mr. Gerald Lynn Woolam Jr.
Title
President
Phone
(806) 762-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0093664 TX Primary

Addresses

Primary practice location

516 Ash St
Plainview, TX 79072-8018

Mailing address

11912 Slide Rd
Lubbock, TX 79424-7445
Phone (806) 762-6777

Other identifiers 2

IdentifierTypeStateIssuer
017202501MedicaidTX
0093664OtherTXTX DEPT. HEALTH LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1730231978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247445",
            "telephone_number": "806-762-6777",
            "fax_number": "806-762-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ASH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790728018",
            "telephone_number": "806-288-9977",
            "fax_number": "806-288-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WOOLAM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-762-6777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0093664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017202501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT. HEALTH LICENSE",
            "identifier": "0093664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.