Organization Active NPI

CMS Imaging

  • Oxygen Equipment & Supplies (DME)
  • Orange Park, FL
National Provider Identifier
1942483482
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
049264 Issued in FL
Legal business name
CMS IMAGING
Practice address
653 Kingsley Ave
Orange Park, FL 32073-5467
Phone
(904) 264-8154
Fax
(904) 264-1509
NPI assigned
Dec 6, 2007
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
James SloanNPI 1114900115
Title
Ceo
Phone
(904) 264-8154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 049264 FL Primary

Addresses

Primary practice location

653 Kingsley Ave
Orange Park, FL 32073-5467

Mailing address

653 Kingsley Ave
Orange Park, FL 32073-5467
Phone (904) 264-8154

Other identifiers 1

IdentifierTypeStateIssuer
211345700MedicaidFL

National Provider Directory

National Provider Directory

Locations

653 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-8154

4050 Azalea Dr
North Charleston, SC 29405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1942483482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735467",
            "telephone_number": "904-264-8154",
            "fax_number": "904-264-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735467",
            "telephone_number": "904-264-8154",
            "fax_number": "904-264-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-264-8154"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "049264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211345700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.