Active NPI
Star Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Plainview, TX
National Provider Identifier
1730231978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0093664
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017202501 | Medicaid | TX | |
| 0093664 | Other | TX | TX DEPT. HEALTH LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.