NPIMap

Organization Active NPI

Electrostim Medical Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Moore, OK
National Provider Identifier
1770801912
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELECTROSTIM MEDICAL SERVICES, INC
Practice address
106 W Main St
Moore, OK 73160-5120
Phone
(800) 588-8383
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Mr. Mario Garcia Jr.
Title
President and Ceo
Phone
(800) 588-8383

Specialties & licenses 1

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

Addresses

Primary practice location

106 W Main St
Moore, OK 73160-5120

Mailing address

3504 Cragmont Dr
#100
Tampa, FL 33619-8336

Other names 1

  • EMSI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528003272 OK DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 5597960724 Practice locations: Moore, OK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Electrostim Medical Services, Inc106 W Main St, Moore, OK 73160-5120(405) 676-9099 Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
Electrostim Medical Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

106 W Main St
Moore, OK 73160
Phone (405) 676-9099

4401 NW 4th St
Ste 118
Oklahoma City, OK 73107

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1770801912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 CRAGMONT DR",
            "address_2": "#100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605120",
            "telephone_number": "800-588-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROSTIM MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "800-588-8383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMSI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMSI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.