Show Me Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SHOW ME MEDICAL EQUIPMENT LLC

Practice address

1208 Porter Wagoner Blvd Ste 3
West Plains, MO 65775-1854

Phone

(417) 256-2526

Fax

(417) 256-2079

NPI assigned

May 14, 2013

Organization subpart

No

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

Authorized official

Name

Philip Vasta

Title

Owner

Phone

(417) 256-2526

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1942646245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 PORTER WAGONER BLVD STE 3",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751854",
            "telephone_number": "417-256-2526",
            "fax_number": "417-256-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 PORTER WAGONER BLVD STE 3",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751854",
            "telephone_number": "417-256-2526",
            "fax_number": "417-256-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOW ME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "VASTA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-256-2526"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942646245",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Shelton
• Kristi Sheridan
• Johnna Sherman
• Alley Lee Sherwood
• Shining Bright, LLC
• Kelly Showman
• Ashley Shrable, COTA
• James Monroe Sickmeier
• Leslie Sides, OD
• Connie Sigman

• Oxygen Equipment & Supplies (DME) in West Plains, MO
• Providers in West Plains, MO by specialty
• Oxygen Equipment & Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.