Sam's Shoe Repair

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SAM'S SHOE REPAIR

Practice address

304 N 3Rd St
Marquette, MI 49855-4224

Phone

(906) 226-9087

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By 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

Mr. Sam Roumanis

Title

Owner

Phone

(906) 226-9087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1760998512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554224",
            "telephone_number": "906-226-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S SHOE REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "ROUMANIS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-226-9087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarett Sadler, DPT
• Frank J Sagato, MD
• Saswat Sahu, MD
• Brenda Marie Salisbury
• Cody Lawrence Salverson
• Pushpamal Nayananga Samararatne, MD
• Samone Derks LLC
• Michael Sanders
• Steven Garfirld Sanderson, DC
• Thomas Scott Sandin, P.A.-C.

• Customized Equipment (DME) in Marquette, MI
• Providers in Marquette, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.