Scientech Medical Supplies, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

20016604261 Issued in GA

Legal business name

SCIENTECH MEDICAL SUPPLIES, INC.

Doing business as

Scientech Medical Supplies, Inc.

Practice address

7000 Tara Blvd
Suite F
Jonesboro, GA 30236-1600

Phone

(770) 417-4888

Fax

(770) 471-4887

NPI assigned

May 23, 2005

Last updated

Apr 7, 2010By 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. Iyobosa O Jesuorobo, MBA

Title

Ceo

Phone

(770) 471-4888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scientech Medical Supplies, Inc. Doing business as

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1912900945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1635",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302818635",
            "telephone_number": "770-471-4888",
            "fax_number": "770-471-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 TARA BLVD",
            "address_2": "SUITE F",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361600",
            "telephone_number": "770-417-4888",
            "fax_number": "770-471-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIENTECH MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "JESUOROBO",
        "authorized_official_first_name": "IYOBOSA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-471-4888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "20016604261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44181255A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scientech Medical Supplies, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.