Scooter Warehouse Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

69000243A Issued in IN

Legal business name

SCOOTER WAREHOUSE INC.

Practice address

4011 S Michigan St
South Bend, IN 46614-2543

Phone

(574) 299-8606

Fax

(574) 299-0538

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Moore

Title

President

Phone

(574) 299-8606

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1891782827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142543",
            "telephone_number": "574-299-8606",
            "fax_number": "574-299-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142543",
            "telephone_number": "574-299-8606",
            "fax_number": "574-299-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER WAREHOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-299-8606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000243A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "000000300423",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200454170A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Allen Schut, MSW, LCSW
• Tamara N. Schwalbe, OD
• Angela Gay Schwartz, LCSW
• Bruce H Schwartz, M.D.
• Courtney Schweiger, BCBA
• Christine E Scott
• Daria Scott, PTA
• Joshua J Scott
• Lisa Ann Scott
• Mackenzie Scott

• Durable Medical Equipment & Medical Supplies in South Bend, IN
• Providers in South Bend, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.