Jalopy Shoppe, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JALOPY SHOPPE, INC

Doing business as

Praxair Healthcare Services

Practice address

1208 Champion Way
Longview, TX 75604-5966

Phone

(903) 663-5260

Fax

(903) 663-1400

NPI assigned

Jul 13, 2006

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Kaltrider

Title

President

Phone

(203) 837-2330

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• PRAXAIR HEALTHCARE SERVICES Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Praxair Healthcare Services Inc

  • Oxygen Equipment & Supplies (DME)
  • Wilmington, DE
  • NPI 1871825711

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1760407613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18227 AMMI TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770601116",
            "telephone_number": "281-784-4861",
            "fax_number": "281-209-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 CHAMPION WAY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756045966",
            "telephone_number": "903-663-5260",
            "fax_number": "903-663-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALOPY SHOPPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "KALTRIDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-837-2330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117160-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391773-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAXAIR HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary R Jacobs, M.D.
• Edward E Jacobson, MD
• Jaime D Jaggers, LPC-S
• Monica Jain
• Payam Jalali Zadeh, MD
• James M Schumacher (T and H Pharmacy)
• Caroline W James, LPC
• Shelby James
• Amanda Jameson, LPC, CSC
• Humza Salman Jamil

• Durable Medical Equipment & Medical Supplies in Longview, TX
• Providers in Longview, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.