Baron K Short

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

3949-4810 Issued in IL

Practice address

729 W US Highway 50
Ste F
O Fallon, IL 62269-1972

Phone

(618) 447-3392

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1811220577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W US HIGHWAY 50",
            "address_2": "STE F",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691972",
            "telephone_number": "618-447-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W US HIGHWAY 50",
            "address_2": "STE F",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691972",
            "telephone_number": "618-447-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "BARON",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "3949-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Adil Sheikh, M.D.
• David Hooman Shervin, M.D.
• Ashley Shewmake, RBT
• Shiloh Village School District 85
• Spencer Philip Sholl
• Amardeep Shrestha, M.D.
• Nelson Eugene Shreve, MD
• Brianna Nicole Shumpert, RN
• Ata U. Siddiqui, M.D.
• Tracy Sides, RBT

• Customized Equipment (DME) in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.