Service Master Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

18S1025 Issued in OK

Legal business name

SERVICE MASTER MEDICAL LLC

Practice address

2101 W Iowa Ave
Chickasha, OK 73018-2737

Phone

(405) 222-4411

Fax

(405) 222-4426

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Dale McClanahan, CPED

Title

Owner

Phone

(405) 222-4411

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1952415382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182737",
            "telephone_number": "405-222-4411",
            "fax_number": "405-222-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182737",
            "telephone_number": "405-222-4411",
            "fax_number": "405-222-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE MASTER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-222-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "18S1025",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "20377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200029110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Mary Schlecht, PAC
• Darrel Eugene Schreiner, M.D.
• Julilyn Odell Schroeder, L.P.C.
• Lisa Scott, SLP
• Lacey Danielle Seay
• Martha Allison Shadoan, LCSW-P
• Ashley Sheeley
• Ashley Dawn Shell, M.S.
• Sheplee Inc
• Shana Shores

• Oxygen Equipment & Supplies (DME) in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Oxygen Equipment & Supplies (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.