Stat Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6012058040010001 Issued in WA

Legal business name

STAT MEDICAL, INC.

Practice address

12447 116TH Ave NE
Kirkland, WA 98034-4309

Phone

(425) 216-3903

Fax

(425) 481-8365

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Michael Anthony Conforto

Title

President Ceo

Phone

(206) 621-1982

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1811947716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21222 30TH DR SE",
            "address_2": "SUITE 210",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217019",
            "telephone_number": "206-621-1982",
            "fax_number": "425-820-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 116TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344309",
            "telephone_number": "425-216-3903",
            "fax_number": "425-481-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "CONFORTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "206-621-1982"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "6012058040010001",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "6012058040010001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038860",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047085",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "ST2365",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0066134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029265",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Stanley
• Stanton H Hall DDS
• Maureen Stanton, BSN RN
• Shannon Starkweather
• Rachel Haws Starrin
• Stellina Natural Medicine
• Debra M Stemmerman, M.D.
• Jeffrey D Stepanian, PAC
• Liana Stepanyan
• Massoud Stephane, MD

• Durable Medical Equipment & Medical Supplies in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.